Individual provider Active NPI

Katherine Mahar, NP, CNM

  • Advanced Practice Midwife
  • Portsmouth, NH
National Provider Identifier
1710347935
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201707271NP-PP Issued in OR
Practice address
67 Corporate Drive
Suite 300
Portsmouth, NH 03801
Phone
(603) 610-8079
NPI assigned
Mar 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN2306517 MA
Advanced Practice Midwife 367A00000X 081947-23 NH
Advanced Practice Midwife 367A00000X 201707271NP-PP OR Primary

Addresses

Primary practice location

67 Corporate Drive
Suite 300
Portsmouth, NH 03801

Mailing address

PO Box 278
Woodburn, OR 97071-0278
Phone (971) 983-5260

Other practice location 1

15 Old Rollinsford Rd Ste 102
Dover, NH 03820-2869
Phone (603) 749-4963

Other practice location 2

1535 State St
Salem, OR 97301-4255
Phone (503) 364-3787

Other identifiers 1

IdentifierTypeStateIssuer
3121626MedicaidNH

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: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2306517MAMDAdvanced Practice Midwife
201707271NP-PPORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Mar 16, 2020 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Mar 16, 2020 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Nov 27, 2017 Accepting new patients
Silverton Health CurrentSince Nov 27, 2017 Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

1535 State St
Salem, OR 97301
Phone (503) 364-3787

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1710347935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970710278",
            "telephone_number": "971-983-5260",
            "fax_number": "971-983-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 CORPORATE DRIVE",
            "address_2": "SUITE 300",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-610-8079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Old Rollinsford Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202869",
            "country_code": "US",
            "telephone_number": "603-749-4963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 State St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973014255",
            "country_code": "US",
            "telephone_number": "503-364-3787",
            "fax_number": "503-763-3595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAR",
        "first_name": "KATHERINE",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-01",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN2306517",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "081947-23",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201707271NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121626",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.