Individual provider Active NPI

Kathleen B Bellizzi, ACNP

  • Acute Care Nurse Practitioner
  • Schenectady, NY
National Provider Identifier
1043342819
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F430005-1 Issued in NY
Practice address
124 Rosa Rd
Suite 382
Schenectady, NY 12308-2116
Phone
(518) 386-3691
Fax
(518) 386-3503
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F430005-1 NY Primary

Addresses

Primary practice location

124 Rosa Rd
Suite 382
Schenectady, NY 12308-2116

Mailing address

124 Rosa Rd
Suite 382
Schenectady, NY 12308-2116
Phone (518) 386-3691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000497 NY Practitioner - Nurse Practitioner 5597838086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F430005-1NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Pulmonary & Critical Care Associates PC CurrentSince Oct 23, 2010 Accepting new patients

Locations

124 Rosa Rd
Ste 382
Schenectady, NY 12308
Phone (518) 386-3691

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

Interoperability endpoints

  • Direct secure messaging: kbellizzinp834475@direct.trinity-health.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1043342819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ROSA RD",
            "address_2": "SUITE 382",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082116",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ROSA RD",
            "address_2": "SUITE 382",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082116",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLIZZI",
        "first_name": "KATHLEEN",
        "middle_name": "B",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F430005-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.