Individual provider Active NPI

Kelly Dugan Natale, PA-C

  • Medical Physician Assistant
  • Lanham, MD
National Provider Identifier
1457387276
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0002017 Issued in MD
Practice address
8118 Good Luck Rd
Doctors Comm. Hospital, Emergency Dept.
Lanham, MD 20706-3595
Phone
(301) 552-8865
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0002017 MD Primary

Addresses

Primary practice location

8118 Good Luck Rd
Doctors Comm. Hospital, Emergency Dept.
Lanham, MD 20706-3595

Mailing address

6030 Daybreak Cir
Suite 150, PMB 166
Clarksville, MD 21029-1642
Phone (443) 864-0203

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Remsen, MD PA Past Accepting new patients
Cedar Health Ventures, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1457387276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 DAYBREAK CIR",
            "address_2": "SUITE 150, PMB 166",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291642",
            "telephone_number": "443-864-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "address_2": "DOCTORS COMM. HOSPITAL, EMERGENCY DEPT.",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063595",
            "telephone_number": "301-552-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATALE",
        "first_name": "KELLY",
        "middle_name": "DUGAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0002017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.