Active NPI
Kathleen K Dann, M.D.
- Family Medicine Physician
- Amherst, MA
National Provider Identifier
1285634170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 54868
- Practice address
- 31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751 - Phone
- (413) 256-8561
- Fax
- (413) 256-4421
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 54868 | MA | Primary |
Addresses
Primary practice location
31 Hall Dr
Amherst Medical Center
Amherst, MA 01002-2751
Mailing address
PO Box 8019
Valley Medical Group, PC
Springfield, MA 01102-8000
Phone (866) 431-4077
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710700 | Other | MA | HPHC |
| 102720 | Other | MA | CIGNA |
| 24212 | Other | MA | HNE |
| 054868 | Other | MA | TUFTS |
| 6197809 | Medicaid | MA | |
| J04703 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 000000008361 | Other | MA | BMC |
| 2345700 | Other | MA | AETNA |
| 2211723 03 | Other | MA | UNITED HEALTH CARE |
| 1293472 | Other | MA | FALLON |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54868 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1285634170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8019",
"address_2": "VALLEY MEDICAL GROUP, PC",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011028000",
"telephone_number": "866-431-4077",
"fax_number": "413-774-7448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 HALL DR",
"address_2": "AMHERST MEDICAL CENTER",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022751",
"telephone_number": "413-256-8561",
"fax_number": "413-256-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANN",
"first_name": "KATHLEEN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "54868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "710700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "102720",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "24212",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "054868",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6197809",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "J04703",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000008361",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2345700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2211723 03",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "1293472",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.