Active NPI
Kathleen Louise Kraft, MSN, PMHNP-C, ANP-C
- Nurse Practitioner
- Clinton Township, MI
National Provider Identifier
1437399854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704202988
- Practice address
- 35186 Automation Dr
Clinton Township, MI 48035-3113 - Phone
- (586) 600-7462
- Fax
- (586) 204-0268
- NPI assigned
- Feb 25, 2009
- Last updated
- Jun 21, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704202988 | MI | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 112003 | NE |
Addresses
Primary practice location
35186 Automation Dr
Clinton Township, MI 48035-3113
Mailing address
35186 Automation Dr
Clinton Township, MI 48035-3113
Phone (586) 600-7462
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://secure.charmehr.com/users/sign_in | Direct |
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
- Doctor of Medicine, Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Maplegrove Center | Past | Accepting new patients | |
| Seniors Wellness Group of Michigan, P.C. | Past | Accepting new patients |
Interoperability endpoints
- kkraft355607@direct.hfhs.org
Organizations & group practices 2
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.
-
dba Henry Ford Health System
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- West Bloomfield, MI
- NPI 1295767630
-
- Clinical Psychologist
- Royal Oak, MI
- NPI 1801848718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1437399854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35186 AUTOMATION DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353113",
"telephone_number": "586-600-7462",
"fax_number": "586-204-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35186 AUTOMATION DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353113",
"telephone_number": "586-600-7462",
"fax_number": "586-204-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "KATHLEEN",
"middle_name": "LOUISE",
"credential": "MSN, PMHNP-C, ANP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704202988",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "112003",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://secure.charmehr.com/users/sign_in",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "35186 Automation Dr",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480353113",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.