Active NPI
Mary Agnes Kilgallen, REGISTERED NURSE
- Registered Nurse
- Tarrytown, NY
National Provider Identifier
1144998519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 480253
- Practice address
- 221 S Broadway Apt 5
Tarrytown, NY 10591-4508 - Phone
- (914) 256-7949
- Fax
- (914) 256-7949
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 480253 | NY | Primary |
Addresses
Primary practice location
221 S Broadway Apt 5
Tarrytown, NY 10591-4508
Mailing address
221 S Broadway Apt 5
Tarrytown, NY 10591-4508
Phone (914) 256-7949
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mak@icloud.com | Direct | |
| Direct Messaging Address | mak@icloud.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 480253 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1144998519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 S BROADWAY APT 5",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914508",
"telephone_number": "914-256-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 S BROADWAY APT 5",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105914508",
"telephone_number": "914-256-7949",
"fax_number": "914-256-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGALLEN",
"first_name": "MARY",
"middle_name": "AGNES",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "480253",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mak@icloud.com",
"affiliation": "N",
"endpointDescription": "mak@icloud.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "221 S Broadway Apt 5",
"city": "Tarrytown",
"state": "NY",
"country_code": "US",
"postal_code": "105914508",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mak@icloud.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "221 S Broadway Apt 5",
"city": "Tarrytown",
"state": "NY",
"country_code": "US",
"postal_code": "105914508",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.