Kathleen Pollock, CRNP

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

SP006107B Issued in PA

Practice address

1 Green Ridge Rd
Mechanicsburg, PA 17050-1507

Phone

(717) 766-4911

Fax

(717) 506-3946

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1356794119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GREEN RIDGE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501507",
            "telephone_number": "717-766-4911",
            "fax_number": "717-506-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREEN RIDGE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501507",
            "telephone_number": "717-766-4911",
            "fax_number": "717-506-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "KATHLEEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "PA",
            "license": "SP006107B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily P. Player, M.S. CCC-SLP
• Katarina Elizabeth Pletcher, PA-C
• Michael Podgurski, RPH
• Mandy Poff, CRNP
• Benjamin Bradley Pollock, D.O.
• Kevin J Poole, MD
• Stephanie Lynne Poorman
• Anjana Vrajlal Popat, M.D.
• Vrajlal H Popat, MD
• John Patrick Popernack

• Administrator Registered Nurse in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Administrator Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.