KATHLEEN D MAMMEN APRN FNP BC
NPI 1114948627
Nurse Practitioner - Family in Kansas City, MO
About Kathleen D Mammen Aprn Fnp Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN D MAMMEN APRN FNP BC (NPI 1114948627) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2005017142) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 5
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KANSAS CITY, MO 64124
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kathleen Mammen's NPI number?
The NPI number for Kathleen Mammen is 1114948627. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Kathleen D Koppenhafer Aprn Fnp Bc.
Where is Kathleen Mammen located?
Kathleen Mammen practices at 825 Euclid Ave, Kansas City, MO 64124. The listed phone number is (816) 889-4614.
What is Kathleen Mammen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Kathleen Mammen was last updated on January 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen D Mammen, APRN FNP BC · NPI 1114948627
Family physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1114948627 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2005017142 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 825 EUCLID AVE, Kansas City, MO 64124-2323
- **Phone:** (816) 889-4614 · **Fax:** (816) 889-4847
## Record status
- **NPPES last updated:** January 16, 2014
- **Other identifiers:** Medicaid 3046869 00 (FL); Medicaid 421441304 (MO); Medicare ID-Type Unspecified P297966850 (SC); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114948627) · Data from the CMS NPPES public registry.