Kathleen Ann Fagan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN 184028 Issued in OH

Practice address

7500 Auburn Rd
Concord Township, OH 44077-9602

Phone

(440) 358-0400

NPI assigned

May 23, 2016

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1881041572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7616 BRAINARD CT",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440603910",
            "telephone_number": "440-255-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 AUBURN RD",
            "city": "CONCORD TOWNSHIP",
            "state": "OH",
            "postal_code": "440779602",
            "telephone_number": "440-358-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 184028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Donovan
• Cara Lyn Donovan, AUD
• Douglas Dunlap
• Jamie Ekstrom, AU.D.
• Samantha Emch, LPC
• Morgan Renee Faldowski, AU.D.
• Temitope Adetola Fanimo, MD
• Grace Elizabeth Foster, PA-C
• Four Corners Health Care, LLC
• Natalie Marie Frank, M.A., CF-SLP

• Registered Nurse in Concord Township, OH
• Providers in Concord Township, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.