Individual provider Active NPI

Kathryn Holby Thorson, NP

  • Family Nurse Practitioner
  • Brunswick, ME
National Provider Identifier
1255696233
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP121050 Issued in ME
Practice address
Buck 3Rd Floor Bowdoin College
Brunswick, ME 04011-1747
Phone
(207) 725-3770
Fax
(207) 725-3905
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP121050 ME Primary

Addresses

Primary practice location

Buck 3Rd Floor Bowdoin College
Brunswick, ME 04011-1747

Mailing address

3600 College Station
Brunswick, ME 04011-8427
Phone (207) 725-3770

Other identifiers 1

IdentifierTypeStateIssuer
1255696233MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kthorson@meditechdirect.cmhc.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1255696233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 COLLEGE STATION",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040118427",
            "telephone_number": "207-725-3770",
            "fax_number": "207-725-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUCK 3RD FLOOR BOWDOIN COLLEGE",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111747",
            "telephone_number": "207-725-3770",
            "fax_number": "207-725-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "KATHRYN",
        "middle_name": "HOLBY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP121050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255696233",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.