Active NPI
Kathleen B Kerr, MSN; APRN, CNS
- Adult Psychiatric/Mental Health Registered Nurse
- Islesboro, ME
National Provider Identifier
1558515890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- AS114002
- Practice address
- 1523 Pripet Wood LN
Islesboro, ME 04848-4272 - Phone
- (207) 542-6082
- NPI assigned
- Nov 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | AS114002 | ME | Primary |
Addresses
Primary practice location
1523 Pripet Wood LN
Islesboro, ME 04848-4272
Mailing address
1523 Pripet Wood LN
Islesboro, ME 04848-4272
Phone (207) 542-6082
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AS114002 | ME | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Beacon Project | Past | Accepting new patients | |
| Moringa LLC | Past | Accepting new patients | |
| Bright Day LLC | Past | Accepting new patients |
Organizations & group practices 3
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": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360627200000",
"number": "1558515890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1523 PRIPET WOOD LN",
"city": "ISLESBORO",
"state": "ME",
"postal_code": "048484272",
"telephone_number": "207-542-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1523 PRIPET WOOD LN",
"city": "ISLESBORO",
"state": "ME",
"postal_code": "048484272",
"telephone_number": "207-542-6082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "KATHLEEN",
"middle_name": "B",
"credential": "MSN; APRN, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2013-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "ME",
"license": "AS114002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islesboro, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.