Kathe Ann Conner, RN/FNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

244559 Issued in TX

Practice address

1901 Johnson St
San Angelo, TX 76909-0001

Phone

(325) 942-2171

Fax

(325) 942-2133

NPI assigned

Feb 5, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kconner6762@shannonhealth.direct-ci.com

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.

• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  Medicare reassignment NPD

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1992944565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 JOHNSON ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769090001",
            "telephone_number": "325-942-2171",
            "fax_number": "325-942-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 JOHNSON ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769090001",
            "telephone_number": "325-942-2171",
            "fax_number": "325-942-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KATHE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN/FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "244559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "0278285",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concho Valley Family Dental, P.a.
• Concho Valley Hematology & Oncology, PLLC
• Concho Valley HHC of West TX LLC
• Concho Valley Medicine, LLC
• Concho Valley Rehab, P.a.
• Alicia Connolly, MS, MAT, LAT, ATC
• Quintin Brice Conoly, PHARMD
• Rachael A Conover, CNS
• Jose Antonio Contreras Sr., PHD
• Warren Conway, MD

• Family Nurse Practitioner in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.

Verify at the official NPI Registry.