MS. KATHLEEN ROWAN MAHONEY CRNP, MSN, PHD
NPI 1174565428
Nurse Practitioner - Adult Health in Philadelphia, PA

Active since June 12, 2006
1900 N 9TH ST, SUITE 104, PHILADELPHIA, PA 19122(215) 765-6690(215) 765-6694 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen Rowan Mahoney Crnp, Msn, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN ROWAN MAHONEY CRNP, MSN, PHD (NPI 1174565428) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (UP001097C) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1174565428
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KATHLEEN ROWAN MAHONEYCredential: CRNP, MSN, PHD
Location Address1900 N 9TH ST, SUITE 104Philadelphia, PA 19122-2024
Mailing Address1500 Market St, Lm 500 West TowerPhiladelphia, PA 19102-2100 · (215) 985-2595
Fax(215) 765-6694
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 20, 2016
NPI 1174565428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in PA · UP001097C
1900 N 9TH ST, Philadelphia, PA 19122

Other Identifiers 6

Other1590259PA · Blue Cross
Other7934856PA · Aetna
Other2268269000PA · Keystone Health Plan East
Other16621PA · Bravo
Other30027025PA · Keystone Mercy Health Plan
Medicaid0016148450001PA

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
1900 N 9TH ST
PHILADELPHIA, PA 19122
Nurse Practitioner (Family)
1900 N 9TH ST, SUITE 104
PHILADELPHIA, PA 19122
Pharmacy
1900 N 9TH ST
PHILADELPHIA, PA 19122
Nurse Practitioner (Family)
1900 N 9TH ST
PHILADELPHIA, PA 19122
Pharmacy
1900 N 9TH ST
PHILADELPHIA, PA 19122
Nurse Practitioner (Family)
1900 N 9TH ST, SUITE 104
PHILADELPHIA, PA 19122
Clinic/Center (Federally Qualified Health Center (FQHC))
1900 N 9TH ST
PHILA, PA 19122
Social Worker (Clinical)
1900 N 9TH ST, SUITE 104
PHILADELPHIA, PA 19122

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 Mahoney's NPI number?

The NPI number for Kathleen Mahoney is 1174565428. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Kathleen Mahoney located?

Kathleen Mahoney practices at 1900 N 9th St Suite 104, Philadelphia, PA 19122. The listed phone number is (215) 765-6690.

What is Kathleen Mahoney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kathleen Mahoney was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.