Kathleen Ann O'Shea, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00706400 Issued in NJ

Practice address

400 E Church St
Blackwood, NJ 08012-3910

Phone

(856) 227-6575

Fax

(856) 374-9495

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Nurse Practitioner

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Tri-County Health Connections PC

  dba Inspira Health Connections PC

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1124660501
  NPD
• Tri-County Health Connections PC

  dba Woodbury Neurology at Underwood

  • Neurology Physician
  • Woodbury, NJ
  • NPI 1417220310
  NPD (past)

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1407397920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E CHURCH ST",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123910",
            "telephone_number": "856-227-6575",
            "fax_number": "856-374-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E CHURCH ST",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123910",
            "telephone_number": "856-227-6575",
            "fax_number": "856-374-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00706400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Mentor Healthcare, LLC (New Jersey MENTOR)
• New Jersey CVS Pharmacy LLC (CVS Pharmacy 02196)
• Sean Lean Ngo, RPH
• Nurse Practitioner Professional Resources
• Benjamin Nwanonenyi
• Ocean Winds Counseling Service, LLC
• Mojisola Odunuga, FNP-BC
• Nicole Teresa Ogletree
• William Michael Ogletree, CNIM
• Oluwasanmi Abiodun Ojo

• Gerontology Nurse Practitioner in Blackwood, NJ
• Providers in Blackwood, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.