Lisa Ann Kolts, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

323479-1 Issued in NY

Practice address

150 Elm St
Cortland, NY 13045-2321

Phone

(619) 757-5716

NPI assigned

Jun 2, 2016

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

State licenses

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1124476932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ELM ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ELM ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452321",
            "telephone_number": "619-757-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTS",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323479-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena J Klaes, RPH
• Aaron Klein
• Miranda Jane Knickerbocker, OTR/L
• Nicole Cecile Koekebacker, MAT, MS
• Wendy M Kolodziejczyk, P.T.
• Lauren Elizabeth Kostuk, CCC-SLP
• Rachel Erin Kosty, PT, DPT
• Angela M Kowalewski
• KPH Healthcare Services, Inc.
• KPH Healthcare Services, Inc.

• Licensed Practical Nurse in Cortland, NY
• Providers in Cortland, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.