Active NPI
Kathleen S Rathbun-Duncan, D O
- Family Medicine Physician
- Greenacres, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS7267
- Practice address
- 4889 Lake Worth Rd
Suite 109
Greenacres, FL 33463-3499 - Phone
- (561) 649-7532
- Fax
- (561) 649-7535
- NPI assigned
- Sep 10, 2007
- Last updated
- Oct 19, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS7267 | FL | Primary |
Addresses
Primary practice location
4889 Lake Worth Rd
Suite 109
Greenacres, FL 33463-3499
Mailing address
4889 Lake Worth Rd
Ste 109
Greenacres, FL 33463-3480
Phone (561) 790-4445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000738901 | Medicaid | FL | |
| 000738900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4889 Lake Worth Rd
Suite 109
Greenacres, FL 33463-3480
Phone (561) 649-7532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Imaging, LLC | Current | Accepting new patients | |
| Independent Imaging LLC | Current | Accepting new patients | |
| Palm Beach Family Medical Associates Inc | Current | Accepting new patients | |
| Western Communities Family Practice Assoc Inc | Family Medicine | Past | Accepting new patients |
| R a M Medical Inc | Past | Accepting new patients |
Locations
4889 Lake Worth Rd
Ste 109
Greenacres, FL 33463
Phone (561) 649-7532
5700 Lake Worth Rd
Ste 103
Greenacres, FL 33463
Phone (561) 296-2345
13005 Southern Blvd
Ste 213
Loxahatchee, FL 33470
Phone (561) 254-7933
3347 S State Road 7
Ste 100
Wellington, FL 33449
Phone (561) 795-5558
Interoperability endpoints
- kathleen.rathbun.1@18813.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Radiology Clinic/Center
- Fort Lauderdale, FL
- NPI 1013908912
-
- General Practice Physician
- Greenacres, FL
- NPI 1710172929
-
- Radiology Clinic/Center
- Royal Palm Beach, FL
- NPI 1174989255
-
- Podiatrist
- Lake Worth, FL
- NPI 1912044371
-
- Family Medicine Physician
- Wellington, FL
- NPI 1043271596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1639364078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4889 LAKE WORTH RD",
"address_2": "STE 109",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633480",
"telephone_number": "561-790-4445",
"fax_number": "561-790-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4889 LAKE WORTH RD",
"address_2": "SUITE 109",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334633499",
"telephone_number": "561-649-7532",
"fax_number": "561-649-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHBUN-DUNCAN",
"first_name": "KATHLEEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS7267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000738901",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000738900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
- Shade Randle
- Randolph Behavioral Health Services, Inc.
- Randolph Behavioral Health Services, Inc. (Randolph DME)
- David Rangel
- Christina S. Raphael, RD
- Tamika Rawleigh, MA
- Emeline Raymond, CNA
- Readiness Group Solutions, LLC (RGS Consulting and Care Management)
- Recovery Medicine Group LLC
- Recovery Medicine Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.