Active NPI
Kathryn Ann Connell
- Critical Care Medicine Registered Nurse
- Philadelphia, PA
National Provider Identifier
1871315788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- RN715105
- Practice address
- 800 Spruce St
Philadelphia, PA 19107-6130 - Phone
- (215) 316-5151
- NPI assigned
- Oct 30, 2024
- Last updated
- Oct 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN715105 | PA | Primary |
Addresses
Primary practice location
800 Spruce St
Philadelphia, PA 19107-6130
Mailing address
1110 Lombard St Apt 1
Philadelphia, PA 19147-1206
Phone (908) 770-9490
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 |
|---|---|---|---|
| RN715105 | PA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1871315788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 LOMBARD ST APT 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471206",
"telephone_number": "908-770-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 SPRUCE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191076130",
"telephone_number": "215-316-5151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "KATHRYN",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "PA",
"license": "RN715105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Connected Hearts Home Care Agency LLC
- Connected Pathways LLC
- Connecticut General Life Insurance Company (Cglic)
- Connections Family Services, Inc.
- Mfon-Abasi Connell-Gentle, RDH, PHDHP
- Marc Donald Connell Jr., MD
- Michele McGarvey Connell, CRNP
- Natalie Connell
- Timothy Connell, PA-C
- Joan Mary Connelly, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.