Individual provider Active NPI

Kathryn Wadleigh, APRN

  • Family Nurse Practitioner
  • Dover, NH
National Provider Identifier
1386691483
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
025447-23 Issued in NH
Practice address
10 Members Way Ste 203
Dover, NH 03820-5933
Phone
(603) 742-3174
NPI assigned
May 27, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 02544723 NH
Family Nurse Practitioner 363LF0000X CNP131094 ME
Family Nurse Practitioner 363LF0000X 025447-23 NH Primary

Addresses

Primary practice location

10 Members Way Ste 203
Dover, NH 03820-5933

Mailing address

789 Central Ave
Business Office
Dover, NH 03820-2526
Phone (603) 516-4265

Other practice location 1

10 Members Way Ste 201
Dover, NH 03820-5933
Phone (603) 742-2263

Other practice location 2

19 Old Rollinsford Road
Building B
Dover, NH 03820-2827
Phone (603) 516-4265

Other practice location 3

31 Colcord St
South Berwick, ME 03908-1004
Phone (207) 384-4949

Other identifiers 2

IdentifierTypeStateIssuer
281660099MedicaidME
3072150MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050526000143 NH Practitioner - Nurse Practitioner 0547202806 Reassigns benefits to 3 organizations
I20140320000995 ME Practitioner - Nurse Practitioner 0547202806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Members Way
203 Dover Family Practice
Dover, NH 03820-5933
Phone (603) 742-3174

31 Colcord St
South Berwick, ME 03908-1004
Phone (207) 384-4949

65 Calef Hwy
Lee, NH 03861-6703
Phone (603) 868-8507

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
02544723NHMDAdult Health Nurse Practitioner
025447-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Emergency Physicians, PC CurrentSince Apr 22, 1998 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Apr 22, 1998 Accepting new patients
Ocumed LLC CurrentSince Sep 2, 2024 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Apr 22, 1998 Accepting new patients
Seacoast Emergency Physicians PC CurrentSince Apr 22, 1998 Accepting new patients

Locations

31 Colcord St
South Berwick, ME 03908
Phone (207) 384-4022

8 Century Pines Dr
Ste 2
Barrington, NH 03825
Phone (603) 664-2135

10 Members Way
Fl 5
Dover, NH 03820
Phone (603) 609-6800

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 516-4256

10 Members Way
Ste 201
Dover, NH 03820
Phone (603) 205-2823

10 Members Way
Ste 203
Dover, NH 03820
Phone (603) 742-3174

15 Old Rollinsford Rd
Ste 204
Dover, NH 03820
Phone (603) 740-2130

19 Old Rollinsford Rd
Bldg B
Dover, NH 03820
Phone (603) 516-4265

19 Rollinsford Rd
Dover, NH 03820
Phone (603) 742-3174

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

789 Central Ave
Ofc
Dover, NH 03820
Phone (603) 740-4478

36 Madbury Rd
Durham, NH 03824
Phone (603) 659-0901

65 Calef Hwy
Lee, NH 03861
Phone (603) 740-2250

67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050

73 Corporate Dr
Bldg B
Portsmouth, NH 03801
Phone (603) 610-8058

150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1386691483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "address_2": "BUSINESS OFFICE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-516-4265",
            "fax_number": "603-740-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY STE 203",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-742-3174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Members Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038205933",
            "country_code": "US",
            "telephone_number": "603-742-2263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Old Rollinsford Road",
            "address_2": "Building B",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202827",
            "country_code": "US",
            "telephone_number": "603-516-4265",
            "fax_number": "603-740-2173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Colcord St",
            "address_purpose": "LOCATION",
            "city": "South Berwick",
            "state": "ME",
            "postal_code": "039081004",
            "country_code": "US",
            "telephone_number": "207-384-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADLEIGH",
        "first_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "02544723",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP131094",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "025447-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281660099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3072150",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.