Individual provider Active NPI

Kathleen Wood Hedberg, APRN

  • Nurse Practitioner
  • Plymouth, NH
National Provider Identifier
1730271966
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0439812303 Issued in NH
Practice address
16 Hospital Rd
SMH Dba: Wound Care & Hyperbaric Medicine
Plymouth, NH 03264-1126
Phone
(603) 536-1120
NPI assigned
Sep 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0439812303 NH Primary

Addresses

Primary practice location

16 Hospital Rd
SMH Dba: Wound Care & Hyperbaric Medicine
Plymouth, NH 03264-1126

Mailing address

16 Hospital Rd
Speare Memorial Hospital
Plymouth, NH 03264-1126
Phone (603) 536-1120

Other identifiers 2

IdentifierTypeStateIssuer
04398121OtherNHRN LICENSE
0439812303OtherNHARNP FNP LICENSE

Other names 1

  • Kathleen M Wood Hedberg Former name

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
I20061229000368 NH Practitioner - Nurse Practitioner 2668472481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-State Health CenterGroup PAC ID 1951363563, 32 clinicians

Practice addresses (Care Compare)

101 Boulder Point Dr
Suite 1
Plymouth, NH 03264-3170
Phone 60353640001004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0439812303NHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-State Health Center CurrentSince Sep 21, 2015 Accepting new patients
Mid-State Health Center Current Accepting new patients
Mid-State Health Center CurrentSince Sep 21, 2015 Accepting new patients

Locations

101 Boulder Point Dr
Ste 1
Plymouth, NH 03264
Phone (603) 238-3537

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730271966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "address_2": "SPEARE MEMORIAL HOSPITAL",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641126",
            "telephone_number": "603-536-1120",
            "fax_number": "603-536-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL RD",
            "address_2": "SMH DBA: WOUND CARE & HYPERBARIC MEDICINE",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032641126",
            "telephone_number": "603-536-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDBERG",
        "first_name": "KATHLEEN",
        "middle_name": "WOOD",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "0439812303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "04398121",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP FNP LICENSE",
            "identifier": "0439812303",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WOOD HEDBERG",
            "middle_name": "M",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plymouth, NH

Sources for this page

Verify at the official NPI Registry.