Individual provider Active NPI

Kathleen Mary Dealy, ACCNS-AG

  • Critical Care Medicine Clinical Nurse Specialist
  • Newark, DE
National Provider Identifier
1780308338
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Clinical Nurse SpecialistTaxonomy code 364SC0200X
License
LV-0010137 Issued in DE
Practice address
4755 Ogletown Stanton Rd # 3E29
Newark, DE 19718-2200
Phone
(302) 733-7453
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L1-0048950 DE
Critical Care Medicine Clinical Nurse Specialist 364SC0200X LV-0010137 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd # 3E29
Newark, DE 19718-2200

Mailing address

719 Jamestown Way
West Chester, PA 19380-6486

Other names 1

  • Kathleen Luckner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20221114000105 DE Practitioner - Certified Clinical Nurse Specialist (CNS) 8527435064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
L1-0048950DEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Oct 27, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 27, 2022 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
#3E29
Newark, DE 19718
Phone (302) 733-7453

4755 Ogletown Stanton Rd
Fl 3
Newark, DE 19718
Phone (302) 733-3475

4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600

4755 Ogletown Stanton Rd
Ste 107
Newark, DE 19718

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1780308338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 JAMESTOWN WAY",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD # 3E29",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEALY",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "ACCNS-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0048950",
            "primary": false
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "DE",
            "license": "LV-0010137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "LUCKNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.