Active NPI
Kathleen R McGuire, PTA
- Other Technician
- Valparaiso, IN
National Provider Identifier
1902011133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 06002724A
- Practice address
- 911 Crabapple LN
Valparaiso, IN 46383-9781 - Phone
- (219) 548-9288
- Fax
- (219) 548-9288
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 06002724A | IN | Primary |
Addresses
Primary practice location
911 Crabapple LN
Valparaiso, IN 46383-9781
Mailing address
911 Crabapple LN
Valparaiso, IN 46383-9781
Phone (219) 548-9288
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 |
|---|---|---|---|
| 06002724A | IN | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902011133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 CRABAPPLE LN",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463839781",
"telephone_number": "219-548-9288",
"fax_number": "219-548-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 CRABAPPLE LN",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463839781",
"telephone_number": "219-548-9288",
"fax_number": "219-548-9288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "KATHLEEN",
"middle_name": "R",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "IN",
"license": "06002724A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.