Kathy Trisket, CRNP
Individual provider Active NPI Family Nurse Practitioner · Gerry, NY
NPI 1043413503 · NPPES record last updated Jul 22, 2009
Key facts
- NPI
- 1043413503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F335979 (NY)
- Practice address
- 4570 Route 60
Gerry, NY 14740-9540 - Phone
- (716) 985-4612
- Fax
- (716) 985-4197
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260206002122 | NY | Order and Referring Only - Nurse Practitioner | 0244321172 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F335979 | NY | MD | Family Nurse Practitioner |
| SP009124 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerry Homes, Inc | Past | Accepting new patients | |
| Gerry Nursing Home Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP009124 | PA | |
| Family Nurse Practitioner | 363LF0000X | F335979 | NY | Yes |
Addresses
Primary practice location
4570 Route 60
Gerry, NY 14740-9540
Mailing address
4570 Route 60
PO Box 351
Gerry, NY 14740-9540
Phone (716) 985-4612
Other providers in Gerry, NY
- Emily Milbrand
- Jodi Sapper
- Marty Kay Spagnualo
- James Sposato
- Jessica L Thomas
- Colleen Sue Walters
- Richard Michael Whitver
All providers in Gerry, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.