Kathleen Ann Patterson, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Fallon, NV

NPI 1407370265 · NPPES record last updated May 6, 2019

Key facts

NPI
1407370265
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN002608 (NV)
Practice address
560 E Williams Ave
Fallon, NV 89406-3031
Phone
(775) 982-5000
Fax
(775) 982-2988
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240807000830 NV Order and Referring Only - Nurse Practitioner 7113293929

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN002608NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nevada Health District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN002608 NV Yes

Addresses

Primary practice location

560 E Williams Ave
Fallon, NV 89406-3031

Mailing address

850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-5262

Other names

  • Kathleen Ann Swinney Former name

Other providers in Fallon, NV

All providers in Fallon, NV · Family Nurse Practitioner in Nevada

Sources for this page

Verify at the official NPI Registry.