Kerry Ann Donovan, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F3311851 Issued in NY

Practice address

35 Smith St
Nanuet, NY 10954-2914

Phone

(845) 623-7100

Fax

(845) 732-8440

NPI assigned

Apr 27, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGGBAA/Endpoint/HGGBAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Services of Manhasset, PC

  • Pediatrics Physician
  • Nanuet, NY
  • NPI 1659141679
  Medicare reassignment NPD
• Phelps Faculty Medical Affiliates University Faculty Practice Corpor

  • Pediatrics Physician
  • Nanuet, NY
  • NPI 1912853722
  Medicare reassignment NPD
• Eckerson Pediatric Associates, PC

  • Specialist
  • Nanuet, NY
  • NPI 1689856098
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114147337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SMITH ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542914",
            "telephone_number": "845-623-7100",
            "fax_number": "845-732-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SMITH ST",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542914",
            "telephone_number": "845-623-7100",
            "fax_number": "845-732-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3311851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F3311851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ralph Diliello, LMT
• Dlbogin Inc
• Diane Dolan
• Sandra L. Domroe, M.A. C.C.C. S.L.P.
• Donald H Bernstein
• Naisha Dorvil
• Steve Z Douer, MD
• Theresa Ann Doyle, RN
• Dr Steven Fessel
• Dr. Audrey Brutus Psychological Support PC

• Family Nurse Practitioner in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.