Konalife, LLC, PA
Konalife, LLC, PA is a healthcare organization registered as Psychiatric/Mental Health Nurse Practitioner in Mount Desert, ME, holding Type 2 (organization) NPI 1457291619 since 2026. The authorized official on file is Kati Derevere, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457291619 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Konalife, LLC, PA |
| Practice address | 1049 MAIN ST UNIT 2S, Mount Desert, ME, 04660 |
| Phone | 2072444111 |
| Enumeration date | 2026-03-30 |
| Last updated in NPPES | 2026-03-30 |
Authorized official
| Name | Kati Derevere |
|---|---|
| Title | Owner |
| Phone | 2074792583 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Konalife, LLC, PA NPI: 1457291619 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 1049 MAIN ST UNIT 2S, Mount Desert, ME, 04660
Verify this record
Cross-check NPI 1457291619 against the authoritative CMS record: view Konalife, LLC, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Konalife, LLC, PA?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-30.