Active NPI
Kathleen M Healey, MD
- Otolaryngology Physician
- Napa, CA
National Provider Identifier
1366512626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G49386
- Practice address
- 1100 Trancas St
Suite 210
Napa, CA 94558-2900 - Phone
- (707) 251-3608
- Fax
- (707) 251-1727
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G49386 | CA | Primary |
Addresses
Primary practice location
1100 Trancas St
Suite 210
Napa, CA 94558-2900
Mailing address
1100 Trancas St
Suite 210
Napa, CA 94558-2900
Phone (707) 251-3608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G493860 | Medicaid | CA |
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 |
|---|---|---|---|
| G49386 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queen of the Valley Medical Association | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gynecology Physician
- Napa, CA
- NPI 1649260126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1366512626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 TRANCAS ST",
"address_2": "SUITE 210",
"city": "NAPA",
"state": "CA",
"postal_code": "945582900",
"telephone_number": "707-251-3608",
"fax_number": "707-251-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 TRANCAS ST",
"address_2": "SUITE 210",
"city": "NAPA",
"state": "CA",
"postal_code": "945582900",
"telephone_number": "707-251-3608",
"fax_number": "707-251-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALEY",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "G49386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G493860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.