MS. KATHLEEN A MCDONALD PA
NPI 1487763603
Physician Assistant - Surgical in Espanola, NM

Active since August 30, 2006
1009 SPRUCE ST, ESPANOLA, NM 87532(505) 747-4144(505) 747-3213 Get Directions Write a Review

NPPES record last updated: April 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen A Mcdonald Pa NPPES

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

MS. KATHLEEN A MCDONALD PA (NPI 1487763603) is an individual surgical provider in Espanola, New Mexico, licensed in New Mexico (PA2003-0045) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487763603
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KATHLEEN A MCDONALDCredential: PA
Location Address1009 SPRUCE STEspanola, NM 87532-2740
Mailing Address1009 Spruce StEspanola, NM 87532-2740 · (505) 747-4144 · Fax (505) 747-3213
Fax(505) 747-3213
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateApril 2, 2013
NPI 1487763603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NM · PA2003-0045
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA2003-0045 (NM)
1009 SPRUCE ST, Espanola, NM 87532

Other Identifiers 3

Medicare ID-Type Unspecified342405500NM
Medicare UPINQ04058NM
Medicaid67289258NM

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Surgical)
1009 SPRUCE ST
ESPANOLA, NM 87532
Specialist
1009 SPRUCE ST
ESPANOLA, NM 87532
Specialist
1009 SPRUCE ST
ESPANOLA, NM 87532

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 Mcdonald's NPI number?

The NPI number for Kathleen Mcdonald is 1487763603. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kathleen Mcdonald located?

Kathleen Mcdonald practices at 1009 Spruce St, Espanola, NM 87532. The listed phone number is (505) 747-4144.

What is Kathleen Mcdonald's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kathleen Mcdonald was last updated on April 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.