Active NPI
Kaci Lyn McPherson, APRN, WHNP
- Family Nurse Practitioner
- South Paris, ME
National Provider Identifier
1417667403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- CNP251475
- Practice address
- 17 Gary St
South Paris, ME 04281-1636 - Phone
- (207) 739-4614
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | CNP251475 | ME | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | CNP251475 | ME |
Addresses
Primary practice location
17 Gary St
South Paris, ME 04281-1636
Mailing address
PO Box 2
Dixfield, ME 04224-0002
Phone (254) 833-4094
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP251475 | ME | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- kmcpherson1164914@direct.sw.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1417667403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2",
"city": "DIXFIELD",
"state": "ME",
"postal_code": "042240002",
"telephone_number": "254-833-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 GARY ST",
"city": "SOUTH PARIS",
"state": "ME",
"postal_code": "042811636",
"telephone_number": "207-739-4614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "KACI",
"middle_name": "LYN",
"credential": "APRN, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP251475",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ME",
"license": "CNP251475",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Paris, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.