Individual provider Active NPI

Cathleen A. Kirkpatrick, CRNP

  • Family Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1679550719
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP007164 Issued in PA
Practice address
711 S 8TH St
Lebanon, PA 17042-6750
Phone
(717) 272-2252
Fax
(717) 272-5842
NPI assigned
Dec 29, 2005
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP007164 PA
Family Nurse Practitioner 363LF0000X SP007164 PA Primary

Addresses

Primary practice location

711 S 8TH St
Lebanon, PA 17042-6750

Mailing address

711 S 8TH St
Lebanon, PA 17042-6750
Phone (717) 272-2252

Other practice location 1

300 Willow St
Lebanon, PA 17046-4871
Phone (717) 356-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP007164PAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cathleen.kirkpatrick.1@7492.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1679550719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S 8TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426750",
            "telephone_number": "717-272-2252",
            "fax_number": "717-272-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S 8TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426750",
            "telephone_number": "717-272-2252",
            "fax_number": "717-272-5842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Willow St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170464871",
            "country_code": "US",
            "telephone_number": "717-356-2222",
            "fax_number": "855-717-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "CATHLEEN",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.