Kathryn Jo-Anne Konieczki, BSN RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

333345 Issued in CA

Practice address

18 Allyn Ave
San Anselmo, CA 94960-2204

Phone

(415) 785-3509

NPI assigned

Jan 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043377179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ALLYN AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602204",
            "telephone_number": "415-785-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ALLYN AVE",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602204",
            "telephone_number": "415-785-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONIECZKI",
        "first_name": "KATHRYN",
        "middle_name": "JO-ANNE",
        "credential": "BSN RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "333345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas G Kerry, O.D.
• Bruce Andrew Killen, MFT
• Judith Kinsinger, L.AC
• Noah Shem Klein, MFT
• Lindsey Hayes Koelman, L.AC
• Shu Rong Koo
• Neil Kraus, D.C.
• Susan Shaffer Krebs
• Maxwell Kreger, RADT
• Margaret Kuffel, OTR/L

• Registered Nurse First Assistant in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.