Kathryn M McGovern, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

MM1987164 Issued in IN

Practice address

401 Camby CT
Greenwood, IN 46142-4085

Phone

(317) 881-8737

Fax

(317) 881-8735

NPI assigned

Jul 15, 2009

Last updated

May 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 12, 2022 through Apr 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCBAAA
• Direct secure messaging: kathryn.mcgovern@438720752189444.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Your Corner Pediatrics, LLC

  dba Your Corner Pediatrics

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1871368134

  Pediatrics

  NPD Authorized official
• Clown Pediatrics

  • Specialist
  • Greenwood, IN
  • NPI 1669674461
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1265662076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CAMBY CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424085",
            "telephone_number": "317-881-8737",
            "fax_number": "317-881-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CAMBY CT",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461424085",
            "telephone_number": "317-881-8737",
            "fax_number": "317-881-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "MM1987164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna McGill, P.T.
• Cassandra Lee McGillem, OTD, OTR
• Devon Tyler McGillem, D.C.
• Amy Lee McGovern
• Eric Robert McGovern, DPT
• Diana McGraw, LCAC
• Sylvia Jane McGuire, LCSW
• Katherina D McIntire, MD
• Lindsey McIntosh
• Ashley McKinley, OTR/L

• Pediatric Nurse Practitioner in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Pediatric Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.