Kathleen M Kissane, RN, CRNP, MSN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R089131 Issued in MD

Practice address

5500 Buckeystown Pike
Frederick, MD 21703-8331

Phone

(240) 379-6045

Fax

(240) 379-6050

NPI assigned

Aug 29, 2005

Last updated

May 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1477546117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277045",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847045",
            "telephone_number": "240-566-3330",
            "fax_number": "240-566-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BUCKEYSTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038331",
            "telephone_number": "240-379-6045",
            "fax_number": "240-379-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSANE",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "RN, CRNP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R089131",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R089131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carter D Kircher
• Christina Kirkpatrick, PHYSICIAN ASSISTANT
• Kelly Jane Kirkpatrick
• Kismet Ketamine Psychotherapy & Wellness
• Jessica Kissane
• Mary R. Klein, LCSW-C
• Erich Kleinschmidt, MSW
• Lauren Gaile Kline
• Mark Kline
• Susanna Klingler

• Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.