Kathleen Heffernan, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN143164 Issued in MA

Practice address

258 Main St Ste B1
Bourne, MA 02532-3251

Phone

(857) 263-3758

NPI assigned

Aug 3, 2020

Last updated

Jul 14, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Commonwealth of MassachusettsGroup PAC ID 8820906860, shared by 16 NPIs, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Commonwealth of Massachusetts

  dba Corrigan Mental Health Center

  • Psychiatric Hospital
  • Fall River, MA
  • NPI 1194803288
  Medicare reassignment NPD
• The Commonwealth of Massachusetts

  dba Brockton Multi Service center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1326155458
  Medicare reassignment NPD
• Day to Day Psychiatric Care & Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stoughton, MA
  • NPI 1518445378
  NPD
• The Commonwealth of Massachusetts

  dba Soldiers' Home in Holyoke

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1427111574
  NPD
• Health Imperatives Inc.

  dba New Bedford Family Planning

  • Non-Surgical Family Planning Clinic/Center
  • New Bedford, MA
  • NPI 1013051614
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1548870710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 MAIN ST STE B1",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323251",
            "telephone_number": "508-317-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST STE B1",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323251",
            "telephone_number": "857-263-3758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Quincy St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023022988",
            "country_code": "US",
            "telephone_number": "508-897-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "KATHLEEN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN143164",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN143164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Lynne Gould, RN
• Hannah Mary Grassi
• Patrick Griffin, M.S., SLP/CF
• Harbor Healing Arts LLC
• Scott M Harris, MD
• Cheryl A Hitchings, PA
• Brianne Horton, DMD
• Keralyn Ann Houde, OTRL
• Sharon Marie Howarth
• John D Hughes, HS1

• Psychiatric/Mental Health Nurse Practitioner in Bourne, MA
• Providers in Bourne, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.