Individual provider Active NPI

Kathleen Sarah Dooner, CNP

  • Adult Health Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1285888693
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP-04590 Issued in OH
Practice address
24400 Chagrin Blvd
Suite 102
Beachwood, OH 44122-5642
Phone
(216) 765-0358
Fax
(216) 765-0378
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP-04590 OH Primary

Addresses

Primary practice location

24400 Chagrin Blvd
Suite 102
Beachwood, OH 44122-5642

Mailing address

PO Box 931219
Cleveland, OH 44193-1461
Phone (800) 270-2955

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 Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-04590OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Link, LTD. Past Accepting new patients
CV Medical Services, LLC Past Accepting new patients

Organizations & group practices 2

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": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1285888693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931219",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931461",
            "telephone_number": "800-270-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 CHAGRIN BLVD",
            "address_2": "SUITE 102",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225642",
            "telephone_number": "216-765-0358",
            "fax_number": "216-765-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOONER",
        "first_name": "KATHLEEN",
        "middle_name": "SARAH",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP-04590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.