Individual provider Active NPI

Kathleen Dempsey, PNP

  • Pediatric Nurse Practitioner
  • Warren, NJ
National Provider Identifier
1396922787
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NN05639500 Issued in NJ
Practice address
76 Stirling Rd
Suite 201
Warren, NJ 07059-5778
Phone
(908) 755-5437
Fax
(908) 755-6905
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NN05639500 NJ Primary

Addresses

Primary practice location

76 Stirling Rd
Suite 201
Warren, NJ 07059-5778

Mailing address

76 Stirling Rd
Suite 201
Warren, NJ 07059-5778
Phone (908) 755-5437

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

LicenseStateTypeSpecialty
26NN05639500NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Watchung Pediatrics 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.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1396922787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STIRLING RD",
            "address_2": "SUITE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595778",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STIRLING RD",
            "address_2": "SUITE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595778",
            "telephone_number": "908-755-5437",
            "fax_number": "908-755-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMPSEY",
        "first_name": "KATHLEEN",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN05639500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.