Kathryn A Snow-McCaffrey, APRN MSN GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

KS097301 Issued in MI

Practice address

7268 Campbell TRL
Indian River, MI 49749-9221

Phone

(231) 420-3887

Fax

(231) 526-2212

NPI assigned

Jan 30, 2006

Last updated

May 30, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Mrs. Kate A McCaffrey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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.

• Doctors Services Inc

  dba Doctors Services PC

  • Family Medicine Physician
  • Cheboygan, MI
  • NPI 1356316186
  NPD (past)
• Geriatric Physician Staffing PC

  • Skilled Nursing Facility
  • Suttons Bay, MI
  • NPI 1558616144
  NPD (past)
• Geriatric Physician Staffing, P. C.

  • Geriatric Medicine (Family Medicine) Physician
  • Traverse City, MI
  • NPI 1215989868
  NPD (past)
• William Kerr MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Gaylord, MI
  • NPI 1740479278

  Gerontology

  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1487625174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7268 CAMPBELL TRL",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499221",
            "telephone_number": "231-420-3887",
            "fax_number": "231-526-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7268 CAMPBELL TRL",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499221",
            "telephone_number": "231-420-3887",
            "fax_number": "231-526-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW-MCCAFFREY",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN MSN GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "KS097301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5008769310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00356871",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104942358",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487625174",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MCCAFFREY",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "APRN MSN NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Kathleen Rossio, MD
• Kristin Rousseau, PT
• Saginaw Vamc
• Julie Lynn Samu Shouldice, OD
• Jennifer Schoolcraft, LMSW, LCSW
• Alisha Stapor, LPC, NCC, LLMFT
• Sarah Ellen Stearns, NP
• Kirk Paul Swabash, D.O.
• Thunder Bay Community Health Service, Inc (Inland Lakes Secondary School)
• Thunder Bay Community Health Service, Inc (Inland Lakes Elementary School)

• Gerontology Nurse Practitioner in Indian River, MI
• Providers in Indian River, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.