Organization Active NPI

Kaliope Goutis

  • Nursing Care Agency
  • Fort Drum, NY
National Provider Identifier
1003358284
Registry record updated Nov 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
3178921 Issued in NY
Legal business name
KALIOPE GOUTIS
Practice address
8323E Middle Lewis Ave
Fort Drum, NY 13603-2024
Phone
(727) 946-3963
NPI assigned
Nov 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kaliope Goutis
Title
LPN
Phone
(727) 946-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 3178921 NY Primary

Addresses

Primary practice location

8323E Middle Lewis Ave
Fort Drum, NY 13603-2024

Mailing address

8323E Middle Lewis Ave
Fort Drum, NY 13603-2024
Phone (727) 946-3963

Other identifiers 1

IdentifierTypeStateIssuer
03934241MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478304000000",
    "number": "1003358284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8323E MIDDLE LEWIS AVE",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136032024",
            "telephone_number": "727-946-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8323E MIDDLE LEWIS AVE",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136032024",
            "telephone_number": "727-946-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIOPE GOUTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-05",
        "last_updated": "2016-11-05",
        "status": "A",
        "authorized_official_last_name": "GOUTIS",
        "authorized_official_first_name": "KALIOPE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "727-946-3963"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "3178921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03934241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Drum, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.