Active NPI
Kathleen McEwen, CRNP
- Family Nurse Practitioner
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP004258B
- Practice address
- 3893 William Penn Hwy
Monroeville, PA 15146-2127 - Phone
- (412) 372-2127
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP004258B | PA | Primary |
Addresses
Primary practice location
3893 William Penn Hwy
Monroeville, PA 15146-2127
Mailing address
3893 William Penn Hwy
Monroeville, PA 15146-2127
Phone (412) 372-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP004258B | Other | PA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE, CO, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP004258B | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lighthouse Complex Care of Delaware Inc | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Lighthouse Complex Care LTD | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients |
Locations
14095 E Exposition Ave
Aurora, CO 80012
Phone (303) 219-0030
7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148
250 Fillmore St
Unit 150
Denver, CO 80206
Phone (410) 505-0521
2500 Grubb Rd
Ste 123
Wilmington, DE 19810
Phone (302) 304-1347
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- kathleen.mcewen.1@30254.direct.athenahealth.com
- kathleen.mcewen.1@20145.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Aurora, CO
- NPI 1134781057
-
- Multi-Specialty Clinic/Center
- Wilmington, DE
- NPI 1720797251
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1902827454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3893 WILLIAM PENN HWY",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462127",
"telephone_number": "412-372-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3893 WILLIAM PENN HWY",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462127",
"telephone_number": "412-372-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEWEN",
"first_name": "KATHLEEN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP004258B",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SP004258B",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.