Ilka Katherine List, M.F.A. , D.A., RCAT

Primary specialty

SpecialistTaxonomy code 174400000X

License

000963 Issued in NY

Practice address

428 Springtown Rd
New Paltz, NY 12561-3032

Phone

(845) 255-1134

NPI assigned

Feb 1, 2008

Sex

Female

Sole proprietor

Yes

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

Master of Fine Arts

State licenses

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1043498975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 SPRINGTOWN RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613032",
            "telephone_number": "845-255-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 SPRINGTOWN RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125613032",
            "telephone_number": "845-255-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "ILKA",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.F.A. , D.A., RCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": "NY",
            "license": "000963",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "000963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Licari, LCSW
• Julianne Mary Quimby Light
• Allison Lindsay
• Doree Lipson, LCSW-R
• Lisa Fields-Jacobson, D.C.,P.C.
• Tylene Lizardi, PT, DPT
• Alexandria Lobianco
• Patricia Lofgren
• Nicole Alexandra Loiodice
• Johanna May Longbotham, LMT

• Specialist in New Paltz, NY
• Providers in New Paltz, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.