Kimberly Ann Kazdan, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

457367-1 Issued in NY

Practice address

161 Sunset St
Rochester, NY 14606-2021

Phone

(585) 749-7318

NPI assigned

Apr 19, 2019

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1104489665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SUNSET ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146062021",
            "telephone_number": "585-749-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SUNSET ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146062021",
            "telephone_number": "585-749-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZDAN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "457367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Brice Kay, PH.D.
• Ashley Kaye, MSW
• Edward David Kaye, M.D.
• Elise Kayson-Rubin, N.P.
• Cary Alan Kazdan, O.D.
• Chantel Kazemi, DDS
• Anan Kazi, MD
• Megan Marie Kazi, M.D.
• Rafi Ridwan Kazi, MD
• Steven Kazley, D.D.S.

• General Practice Registered Nurse in Rochester, NY
• Providers in Rochester, 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 Apr 19, 2019; 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.