Active NPI
Kathryn Kelsey Herrmann, RDH
- Dental Hygienist
- Blossburg, PA
National Provider Identifier
1710653076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH071683
- Practice address
- 116 Seymour St
Blossburg, PA 16912-1418 - Phone
- (570) 638-3468
- Fax
- (570) 638-3637
- NPI assigned
- Aug 18, 2021
- Last updated
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | PHDH001210 | PA | |
| Dental Hygienist | 124Q00000X | DH071683 | PA | Primary |
Addresses
Primary practice location
116 Seymour St
Blossburg, PA 16912-1418
Mailing address
PO Box 34
Blossburg, PA 16912-0034
Phone (570) 638-3468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHDH001210 | PA | MD | Public Health Dentist |
| DH071683 | PA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1710653076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "BLOSSBURG",
"state": "PA",
"postal_code": "169120034",
"telephone_number": "570-638-3468",
"fax_number": "570-638-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 SEYMOUR ST",
"city": "BLOSSBURG",
"state": "PA",
"postal_code": "169121418",
"telephone_number": "570-638-3468",
"fax_number": "570-638-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "KATHRYN",
"middle_name": "KELSEY",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "PA",
"license": "PHDH001210",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "PA",
"license": "DH071683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blossburg, PA
- Brandyn M Choplosky, PA-C
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- Melody A Dematteis
- Anthonette Nicole Deprimo, LSW
- Tina Marie Doud-Kearns, FNPC
- Jeffrey Phillip Lemon, RPH
- Jessica Lonzi-McVay, LISW, LCSW
- Martha Lloyd Community Residential Facility
- Martha Lloyd CRF Bloss House
- North Penn Comprehensive Health Services (Blossburg Laurel Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.