Individual provider Active NPI

Kathleen Flaherty, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1437690641
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07035 Issued in NC
Practice address
1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151
Phone
(919) 322-2413
Fax
(919) 322-2416
NPI assigned
Mar 20, 2017
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-07035 NC Primary

Addresses

Primary practice location

1500 Sunday Dr Ste 102
Raleigh, NC 27607-5151

Mailing address

1211 Gatehouse Dr
Cary, NC 27511-5156
Phone (585) 750-3731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20170717002019 NC Practitioner - Physician Assistant 4587934021 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

523 Keisler Dr
Suite 202
Cary, NC 27518-7099
Phone (585) 750-3731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Best Day Psychiatry and Counseling, PC CurrentSince May 22, 2017 Accepting new patients
Arman C. Moshyedi, MD, PLLC CurrentSince Dec 13, 2022 Accepting new patients

Locations

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

1500 Sunday Dr
Ste 102
Raleigh, NC 27607
Phone (919) 322-2413

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1437690641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 GATEHOUSE DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115156",
            "telephone_number": "585-750-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUNDAY DR STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075151",
            "telephone_number": "919-322-2413",
            "fax_number": "919-322-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.