Active NPI
Carolyn H Kearney, ANP
- Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1114010428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F3020201
- Practice address
- 750 E Adams St
Upstate Medical Univers @ Syracuse College of Nursing
Syracuse, NY 13210 - Phone
- (315) 464-3911
- Fax
- (315) 464-5168
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 3397941 | NY | |
| Nurse Practitioner | 363L00000X | F3020201 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Upstate Medical Univers @ Syracuse College of Nursing
Syracuse, NY 13210
Mailing address
8277 Barksdale LN
Manlius, NY 13104
Phone (315) 682-7069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3397941 | NY | MD | Registered Nurse |
| F3020201 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1114010428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8277 BARKSDALE LN",
"city": "MANLIUS",
"state": "NY",
"postal_code": "13104",
"telephone_number": "315-682-7069",
"fax_number": "315-464-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "UPSTATE MEDICAL UNIVERS @ SYRACUSE COLLEGE OF NURSING",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-3911",
"fax_number": "315-464-5168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "CAROLYN",
"middle_name": "H",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "3397941",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F3020201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.