Kathaleen Frances Donnelly, A.N.P.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

302481-1 Issued in NY

Practice address

18 Main St
Stony Brook, NY 11790-1912

Phone

(516) 607-9111

NPI assigned

Mar 20, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

Interoperability endpoints

• Direct secure messaging: kathaleen.donnelly@direct.stonybrookmedicine.edu

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1093956005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901912",
            "telephone_number": "516-607-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAIN ST",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901912",
            "telephone_number": "516-607-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "KATHALEEN",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "A.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "302481-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "302481-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manasa Dondapati
• Susan Donelan, M.D.
• Priyanka Dongare, DO
• Amanda Jill Donlon
• Alexandra Hailey Donnelly, DO
• Kerry Ann Donnelly, CCC-SLP
• Kathleen Doobinin, MD
• Cheryl Dorfman
• Alyssa Marie Doria
• Doughty and Ryzova Medical Group PC

• General Acute Care Hospital in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.