Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KATHLEEN M MAHON CNP
NPI 1790787505
Nurse Practitioner - Adult Health in Saint Cloud, MN

Active since August 11, 2005
1200 6TH AVE N, SAINT CLOUD, MN 56303(320) 252-5731(320) 240-2118 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen M Mahon Cnp NPPES

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

KATHLEEN M MAHON CNP (NPI 1790787505) is an individual adult health provider in Saint Cloud, Minnesota, licensed in Minnesota (R-121023-9) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1790787505
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHLEEN M MAHONCredential: CNP
Location Address1200 6TH AVE NSaint Cloud, MN 56303-2735
Mailing Address1200 6th Ave NSaint Cloud, MN 56303-2735 · (320) 252-5731 · Fax (320) 240-2118
Fax(320) 240-2118
Sole ProprietorNo
Enumeration DateAugust 11, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1790787505 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 MN · R-121023-9
1200 6TH AVE N, Saint Cloud, MN 56303

Other Identifiers 5

Other0404811Medica Health Plans
Other1018331Preferred One
OtherHP26475Health Partners
Other123119U Care
Other52Q63MABlue Cross Blue Shield

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1200 6TH AVE N
ST CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Dermatology
1200 6TH AVE N
SAINT CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Internal Medicine (Cardiovascular Disease)
1200 6TH AVE N
SAINT CLOUD, MN 56303
Internal Medicine
1200 6TH AVE N
SAINT CLOUD, MN 56303

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 Mahon's NPI number?

The NPI number for Kathleen Mahon is 1790787505. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Kathleen Mahon located?

Kathleen Mahon practices at 1200 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 252-5731.

What is Kathleen Mahon'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 Mahon was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.