Kathleen Kelleher, RNC,MSN,DMH,NPC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NN05350200 Issued in NJ

Practice address

97 W Parkway
Collins Pavilion
Pompton Plains, NJ 07444-1647

Phone

(973) 831-5056

Fax

(973) 907-1084

NPI assigned

Apr 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1841417516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "973-831-5056",
            "fax_number": "973-907-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 W PARKWAY",
            "address_2": "COLLINS PAVILION",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441647",
            "telephone_number": "973-831-5056",
            "fax_number": "973-907-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "RNC,MSN,DMH,NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NN05350200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raffaella Linda Kalishman, M.D.
• Anirudh Kapoor, M.D.
• Stamatina Kaptain, M.D.
• Kunwar Kaur, MD
• Martha Jean Keck, APN
• Sarah Khan, M.D.
• Soochung Kim, M.D.
• Deborah Lee Kingsley, RN
• Sierra Klaassens
• Joseph Koetters

• Women's Health Nurse Practitioner in Pompton Plains, NJ
• Providers in Pompton Plains, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.