Kim Anne O'Hara, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

351161-1 Issued in NY

Practice address

25 Bellrose Rd
Sound Beach, NY 11789-0001

Phone

(631) 561-3725

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1003578980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BELLROSE RD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117890001",
            "telephone_number": "631-561-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BELLROSE RD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117890001",
            "telephone_number": "631-561-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "KIM",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "351161-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "119669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lee Murray, M.A. ED.
• Laura Ann Nagengast, LPN
• Stephanie Neidhart
• Jennifer Nesta
• Nutrication LTD
• One Click Physio PT PLLC
• Bernadette Pahl, LMT
• Cassandra Leigh Petriello, M.A. CCC-SLP, TSSLD
• Samantha Picciotti
• Elicia Christine Pitera

• Registered Nurse in Sound Beach, NY
• Providers in Sound Beach, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.