Individual provider Active NPI

Kathleen Lynn Ledwick, ARNP

  • Nurse Practitioner
  • Manchester, NH
National Provider Identifier
1679896351
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
081718-23 Issued in NH
Practice address
87 McGregor St Ste 2100
Manchester, NH 03102-3767
Phone
(603) 626-7546
Fax
(603) 626-7548
NPI assigned
Mar 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X AP60135606 WA
Family Nurse Practitioner 363LF0000X AP60135606 WA
Nurse Practitioner 363L00000X 081718-23 NH Primary

Addresses

Primary practice location

87 McGregor St Ste 2100
Manchester, NH 03102-3767

Mailing address

526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010

Other practice location 1

75 Portsmouth Blvd Ste 310
Portsmouth, NH 03801-4688
Phone (603) 944-9825

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201222002684 NH Practitioner - Nurse Practitioner 7810026929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Pediatric Dermatology PCGroup PAC ID 7012988306, 38 clinicians

Practice addresses (Care Compare)

2 Pillsbury St
Suite 501
Concord, NH 03301-3576
Phone (603) 333-2908

87 McGregor St
Suite 2100
Manchester, NH 03102-3767
Phone (603) 626-7546

Hospital & facility affiliations

  • Catholic Medical Center Hospital, Manchester, NH, CCN 300034
  • Concord Hospital Hospital, Concord, NH, CCN 300001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081718-23NHMDNurse Practitioner
AP60135606WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Pediatric Dermatology, P.C. CurrentSince Oct 12, 2020 Accepting new patients
Ap Derm New Hampshire PC Past Accepting new patients

Locations

2 Pillsbury St
Ste 501
Concord, NH 03301
Phone (603) 333-2908

87 McGregor St
Ste 2100
Manchester, NH 03102
Phone (603) 626-7546

Interoperability endpoints

  • Direct secure messaging: kledwick1106815@wm.providencedirect.org
  • Direct secure messaging: kledwick@apderm.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1679896351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 MAIN ST STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203301",
            "telephone_number": "978-371-7010",
            "fax_number": "978-371-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST STE 2100",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023767",
            "telephone_number": "603-626-7546",
            "fax_number": "603-626-7548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Portsmouth Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038014688",
            "country_code": "US",
            "telephone_number": "603-944-9825",
            "fax_number": "978-371-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDWICK",
        "first_name": "KATHLEEN",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-09",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "WA",
            "license": "AP60135606",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60135606",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "081718-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.