Individual provider Active NPI

Kathleen Jewell Fogle, NP

  • Family Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1932428042
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN281053 Issued in MA
Practice address
66 Lewis Bay Rd
CCH Breast Care Center
Hyannis, MA 02601-5210
Phone
(508) 862-7800
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN281053 MA Primary

Addresses

Primary practice location

66 Lewis Bay Rd
CCH Breast Care Center
Hyannis, MA 02601-5210

Mailing address

25 Communication Way
Macc - Revenue Cycle
Hyannis, MA 02601-1866
Phone (508) 957-8664

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN281053MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Healthcare, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1932428042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATION WAY",
            "address_2": "MACC - REVENUE CYCLE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011866",
            "telephone_number": "508-957-8664",
            "fax_number": "508-957-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEWIS BAY RD",
            "address_2": "CCH BREAST CARE CENTER",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015210",
            "telephone_number": "508-862-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGLE",
        "first_name": "KATHLEEN",
        "middle_name": "JEWELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN281053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.