Individual provider Active NPI

Kathryn Anne Chambers, MSNANP

  • Adult Health Nurse Practitioner
  • Auburn, NY
National Provider Identifier
1154423713
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301829-1 Issued in NY
Practice address
3 Saint Anthony St
Auburn, NY 13021-4525
Phone
(315) 253-0351
NPI assigned
Sep 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301829-1 NY Primary

Addresses

Primary practice location

3 Saint Anthony St
Auburn, NY 13021-4525

Mailing address

5697 W Lake Rd
Auburn, NY 13021-9702
Phone (315) 253-0924

Other identifiers 2

IdentifierTypeStateIssuer
P019301829OtherNYBC/BS WITH MEDICAL ASSOCI
01752670MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040728001197 NY Practitioner - Nurse Practitioner 9830169754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F301829-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FLH Medical, PC CurrentSince Mar 1, 2018 Accepting new patients
FLH Medical, PC CurrentSince Mar 1, 2018 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1154423713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5697 W LAKE RD",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130219702",
            "telephone_number": "315-253-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ANTHONY ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214525",
            "telephone_number": "315-253-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "credential": "MSNANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-03",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301829-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS WITH MEDICAL ASSOCI",
            "identifier": "P019301829",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01752670",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.