Kathleen Kelly Maricle, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

688058-1 Issued in NY

Practice address

1100 E Main St
Endicott, NY 13760-5254

Phone

(607) 757-2179

NPI assigned

Sep 12, 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

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1154043677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E CIRCLE DR",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503138",
            "telephone_number": "607-757-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605254",
            "telephone_number": "607-757-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICLE",
        "first_name": "KATHLEEN",
        "middle_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "688058-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Joann Loy, LPN
• Thomas Joseph Lucia, DDS
• Patrick Paul Magee, RPH
• Sheryl Marie Marco, RN
• Renee Marcyan, DPT
• Chris S Marinich, LCSW-R
• Mario G. Silvestri, DPM, PC
• Mark B Cantales, Licensed Clinical Social Worker,PC
• McAndrew Construction & Seamless Gutters LLC
• Deanna McCann, L.AC.

• Registered Nurse in Endicott, NY
• Providers in Endicott, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.