Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Sobo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093163875

Kathleen Sobo is a Certified Registered Nurse Anesthetist (CRNA) in Portland, Maine. Qualified in 2018, 8 years ago. Practices with Woodland Anesthesia Associates PC, a 173-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Maine.

Years since qualifying
8
Licensed in
MA, ME
In the registry since
2016
Specialties on file
2

Practice location Address checks out

716 Stevens Ave
Portland, ME 04103-2656
Phone: (207) 221-4516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN2275810 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RN67254 (ME)

Record details

NPI number1093163875
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESMay 8, 2019
Mailing address716 Stevens Ave, Portland, ME 04103-2656

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Woodland Anesthesia Associates Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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