Colleen B Kearney, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

401830-01 Issued in NY

Practice address

60 West Ave
Malverne, NY 11565-1626

Phone

(516) 504-5862

NPI assigned

Mar 23, 2022

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

Electronic endpoints 1

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1114677259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WEST AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651626",
            "telephone_number": "516-504-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WEST AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651626",
            "telephone_number": "516-504-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "COLLEEN",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "401830-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 West Ave",
            "city": "Malverne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115651626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Diane Kadel, ACNP
• Heather Kane
• Mark Kaplan, RPH
• Melanie Kaplan, MHC-LP, CASAC-P
• Steven M Katz, D.M.D.
• Marisa Kendric, PT, DPT
• Jennifer Susan Khachadurian, D.O.
• Erik Koniger
• Allison Kozak
• Marlene E Kramer Jr., PTA

• All providers in Malverne, NY
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.