Konalife, LLC, PA
NPI 1457291619 · Psychiatric/Mental Health Nurse Practitioner · Mount Desert, ME
Konalife, LLC, PA is a Psychiatric/Mental Health Nurse Practitioner organization in Mount Desert, ME (NPI 1457291619).
Provider details
- NPI number
- 1457291619
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kati Derevere, Owner(207) 479-2583
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-03-30
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Frequently asked questions
- What is Konalife, LLC, PA's NPI number?
- Konalife, LLC, PA's National Provider Identifier (NPI) is 1457291619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Konalife, LLC, PA?
- Konalife, LLC, PA is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Konalife, LLC, PA located?
- Konalife, LLC, PA's practice location on file with NPPES is 1049 Main St Unit 2s, Mount Desert, ME 04660-6318.
- What is Konalife, LLC, PA's phone number?
- The practice phone number listed in the NPPES registry for Konalife, LLC, PA is (207) 244-4111.
- Who is the authorized official for Konalife, LLC, PA?
- The authorized official listed on Konalife, LLC, PA's NPPES record is Kati Derevere, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Konalife, LLC, PA's NPI active?
- Yes — Konalife, LLC, PA's NPI (1457291619) is active in the NPPES registry as of the last update on 2026-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.