Active NPI
Kathleen Drum, DNP, WHNP-BC
- Women's Health Nurse Practitioner
- Dover Afb, DE
National Provider Identifier
1750836052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP131764
- Practice address
- 300 Tuskegee Blvd
Dover Afb, DE 19902-5003 - Phone
- (302) 677-2423
- NPI assigned
- Aug 17, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 736179 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | AP131764 | TX | Primary |
Addresses
Primary practice location
300 Tuskegee Blvd
Dover Afb, DE 19902-5003
Mailing address
300 Tuskegee Blvd
Dover Afb, DE 19902-5003
Phone (302) 677-2423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170322002668 | OH | Order and Referring Only - Nurse Practitioner | 3971888504 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 736179 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1750836052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TUSKEGEE BLVD",
"city": "DOVER AFB",
"state": "DE",
"postal_code": "199025003",
"telephone_number": "302-677-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TUSKEGEE BLVD",
"city": "DOVER AFB",
"state": "DE",
"postal_code": "199025003",
"telephone_number": "302-677-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUM",
"first_name": "KATHLEEN",
"credential": "DNP, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "736179",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "AP131764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover Afb, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.