Kathleen McDonald, RN APN,C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NN05361800 Issued in NJ

Practice address

301 Lippincott Dr
Suite#410
Marlton, NJ 08053-4197

Phone

(609) 703-3200

NPI assigned

Dec 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kathleen McDonald Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1346226149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR",
            "address_2": "SUITE#410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "609-703-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR",
            "address_2": "SUITE#410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "609-703-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RN APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26N005361800",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NN05361800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6664806",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "MCDONALD",
            "prefix": "MS.",
            "credential": "RN APN,C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shanel Laura McConner, NP-BC
• Janan Ahmed McCormick, PMHNP-BC
• Ryan McCormick, M.D.
• Hijazi McCoy, MSN, APN, PMHNP-BC
• Melody Grace McCulley, DNP, APN, FNP-C
• Natalie R. McFetridge, MA, CCC-SLP
• Candace Ann McGarry, MS, CCC-SLP
• Dene McGinnis Grinnell, MSN APRN FNP-C
• Jessica Marie McGoldrick
• Thomas McGowan Jr., LPC

• Adult Health Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.