Active NPI
Kathleen Marie Corcoran, MD
- Pediatrics Physician
- Strafford, NH
National Provider Identifier
1366443319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6692
- Practice address
- 27 Juniper Trail Way
Strafford, NH 03884-6820 - Phone
- (603) 664-5166
- NPI assigned
- Aug 2, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6692 | NH | Primary |
Addresses
Primary practice location
27 Juniper Trail Way
Strafford, NH 03884-6820
Mailing address
PO Box 535
Strafford, NH 03884-0535
Phone (603) 664-5166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82370475 | Medicaid | NH |
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 |
|---|---|---|---|
| 6692 | NH | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366443319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535",
"city": "STRAFFORD",
"state": "NH",
"postal_code": "038840535",
"telephone_number": "603-664-5166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 JUNIPER TRAIL WAY",
"city": "STRAFFORD",
"state": "NH",
"postal_code": "038846820",
"telephone_number": "603-664-5166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NH",
"license": "6692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82370475",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Strafford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.