Individual provider Active NPI

Kathleen Pearson, D.O.

  • Family Medicine Physician
  • Littleton, NH
National Provider Identifier
1629159108
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14393 Issued in NH
Practice address
580 St. Johnsbury Rd.
Littleton, NH 03561
Phone
(603) 444-7070
Fax
(603) 444-2769
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14393 NH Primary

Addresses

Primary practice location

580 St. Johnsbury Rd.
Littleton, NH 03561

Mailing address

PO Box 160
Patient Financial Services
Littleton, NH 03561
Phone (603) 259-7627

Other identifiers 2

IdentifierTypeStateIssuer
30227123MedicaidNH
14393OtherNHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000269 NH Practitioner - Family Practice 7810930658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14393NHMDFamily Medicine Physician
559NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Jan 1, 2013 Accepting new patients
Littleton Hospital Association CurrentSince Jan 1, 2013 Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients
Littleton Hospital Association Family Medicine Past Accepting new patients
Health & Wellness P C PastSince May 27, 2005 Accepting new patients
Elk Grove Internists, P.C. Past Accepting new patients
Alegent Creighton Clinic Family Medicine Past Accepting new patients

Locations

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

580 Saint Johnsbury Rd
Ste C
Littleton, NH 03561

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

Organizations & group practices 7

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1629159108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "PATIENT FINANCIAL SERVICES",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-259-7627",
            "fax_number": "603-259-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 ST. JOHNSBURY RD.",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "03561",
            "telephone_number": "603-444-7070",
            "fax_number": "603-444-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KATHLEEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "14393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30227123",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14393",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

Verify at the official NPI Registry.