Active NPI
Kathleen Mary Ghanayem
- Pulmonary Diagnostics Registered Respiratory Therapist
- San Francisco, CA
National Provider Identifier
1396202339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Diagnostics Registered Respiratory Therapist
- License
- 664
- Practice address
- 2350 Geary Blvd
San Francisco, CA 94115-3305 - Phone
- (415) 833-8525
- Fax
- (415) 833-5731
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Diagnostics Registered Respiratory Therapist | 2279P1004X | 664 | CA | Primary |
Addresses
Primary practice location
2350 Geary Blvd
San Francisco, CA 94115-3305
Mailing address
2350 Geary Blvd
San Francisco, CA 94115-3305
Phone (415) 833-8525
Other names 1
- Kathleen Mary Shinn
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 664 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1396202339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 GEARY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153305",
"telephone_number": "415-833-8525",
"fax_number": "415-833-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 GEARY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153305",
"telephone_number": "415-833-8525",
"fax_number": "415-833-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHANAYEM",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2279P1004X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
"state": "CA",
"license": "664",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4141 Geary Blvd",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "94118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "SHINN",
"middle_name": "MARY",
"credential": "RRT, RCP, CPFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.