Ann Catherine Phelan, M.S.N., R.N.

Primary specialty

Informatics Clinical Nurse SpecialistTaxonomy code 364SI0800X

License

592597 Issued in NY

Practice address

130 W Kingsbridge Rd
James J. Peters VA Medical Center
Bronx, NY 10468-3904

Phone

(718) 584-9000

NPI assigned

Feb 12, 2015

Sex

Female

Sole proprietor

No

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

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1063803955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "JAMES J. PETERS VA MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "JAMES J. PETERS VA MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "ANN",
        "middle_name": "CATHERINE",
        "credential": "M.S.N., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SI0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": "NY",
            "license": "592597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmblue Ny LLC
• Pharmcare Drugs RX Inc
• Pharmcare RX Pharmacy Inc
• Daniel R Pharr, PH.D.
• Kelly Ann Phelan-Schmalz, PSY.D.
• Bridie Ann Phelan, MASSAGE THERAPIST
• Huai Ming Phen, MD
• Vieline D Philbert, RN
• Philip Don
• Benson Philip, PA-C

• Clinical Nurse Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.