Individual provider Active NPI

Kathleen Marie Asmar, DNP, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1275959652
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704261411 Issued in MI
Practice address
43205 Woodward Ave
Bloomfield Hills, MI 48302
Phone
(248) 451-0600
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704261411 MI Primary

Addresses

Primary practice location

43205 Woodward Ave
Bloomfield Hills, MI 48302

Mailing address

43205 Woodward Ave
Bloomfield Hills, MI 48302-5006
Phone (248) 451-0600

Other practice location 1

940 W Avon Rd
Suite 10
Rochester Hills, MI 48307-2760
Phone (248) 650-5009

Other names 1

  • Kathleen Marie Kochanowicz Former name

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
Certified Pediatric Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors for Kids, PLC PastSince Jan 1, 2024 Accepting new patients
Doctors for Kids, PLC PastSince Mar 11, 2025 Accepting new patients
Maureen a Kelly MD PLLC Past Accepting new patients
Bloom Pediatrics PC PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1275959652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43205 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025006",
            "telephone_number": "248-451-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43205 WOODWARD AVE",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-451-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 W Avon Rd",
            "address_2": "Suite 10",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483072760",
            "country_code": "US",
            "telephone_number": "248-650-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASMAR",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "DNP, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704261411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KOCHANOWICZ",
            "middle_name": "MARIE",
            "credential": "DNP, RN, CPNP-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.