Carrie L Kittleman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

302658-1 Issued in NY

Practice address

12719 State Route 46
Boonville, NY 13309-4356

Phone

(315) 942-3069

NPI assigned

May 2, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1134618457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N MAIN ST",
            "city": "CONSTABLEVILLE",
            "state": "NY",
            "postal_code": "133252422",
            "telephone_number": "315-297-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12719 STATE ROUTE 46",
            "city": "BOONVILLE",
            "state": "NY",
            "postal_code": "133094356",
            "telephone_number": "315-942-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTLEMAN",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "302658-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Hartmann, NP
• Hometown Chiropractic, PLLC
• David Hoover, DC
• Michele L Kaun, RPH
• Tammy Kelly
• KND Development 59 LLC
• KPH Healthcare Services, Inc. (Kinney Drugs #92)
• Michael Jonathan Kramer, RPH
• Bohdan G Krop, OTRL
• Amanda Lampman, NP

• Licensed Practical Nurse in Boonville, NY
• Providers in Boonville, 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 May 2, 2018; 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.