Kathryn Hettinger, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

495291-1 Issued in NY

Practice address

4538 Sweden Walker Rd
Brockport, NY 14420-2834

Phone

(585) 503-4058

NPI assigned

Aug 5, 2014

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1104235050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 SWEDEN WALKER RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202834",
            "telephone_number": "585-503-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4538 SWEDEN WALKER RD",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144202834",
            "telephone_number": "585-503-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTINGER",
        "first_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "495291-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda D Heintz, MS
• Amy Maureen Hennessy, MD
• Stephanie Lozada Henning, NP
• Timothy James Henry, PHD, ATC
• Telva Eleida Hernandez, DPM
• Bonnie Dawn Hewett, RN
• Brittany Hicks
• Jennifer Sime Hoenk
• John L Hoffmann, MD
• Stephanie Lynn Holohan, LPN

• General Practice Registered Nurse in Brockport, NY
• Providers in Brockport, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.