Individual provider Active NPI

Kathleen S Cardegna, N.P.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1023138146
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400550 Issued in NY
Practice address
835 W Main St
Rochester, NY 14611-2335
Phone
(585) 368-6550
Fax
(585) 368-6540
NPI assigned
Mar 30, 2007
Last updated
Sep 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400550 NY Primary

Addresses

Primary practice location

835 W Main St
Rochester, NY 14611-2335

Mailing address

835 W Main St
Rochester, NY 14611-2335
Phone (585) 368-6550

Other names 1

  • Kathleen S Klein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400550NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wayne CurrentSince Jan 22, 2013 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 25, 2003 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 25, 2003 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients

Locations

1519 Nye Rd
Ste 100
Lyons, NY 14489
Phone (315) 946-5722

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1023138146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 W MAIN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146112335",
            "telephone_number": "585-368-6550",
            "fax_number": "585-368-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W MAIN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146112335",
            "telephone_number": "585-368-6550",
            "fax_number": "585-368-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDEGNA",
        "first_name": "KATHLEEN",
        "middle_name": "S",
        "credential": "N.P.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "KLEIN",
            "middle_name": "S",
            "credential": "N.P.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.