Angie E Kilburn, NP ADULT HEALTH

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

F310837-01 Issued in NY

Practice address

375 Bay Rd Ste 1
Queensbury, NY 12804-3012

Phone

(518) 932-7234

NPI assigned

Apr 1, 2020

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

Nurse Practitioner

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.

• Binghamton University

  • Primary Care Clinic/Center
  • Binghamton, NY
  • NPI 1558901173
  NPD (past)
• Binghamton University Health Services

  • Student Health Clinic/Center
  • Binghamton, NY
  • NPI 1568679520
  NPD (past)

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164050308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 JAMES RD",
            "city": "SALEM",
            "state": "NY",
            "postal_code": "128655030",
            "telephone_number": "518-414-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BAY RD STE 1",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043012",
            "telephone_number": "518-932-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBURN",
        "first_name": "ANGIE",
        "middle_name": "E",
        "credential": "NP ADULT HEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "F310837-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kenny, LPN
• Carson Kerr, RN
• Jocelyn Keys
• Claire Anna Kiehl, D. D. S.
• Mary Clarisse L Kilayko, MD
• Alida M King, FNP
• Corina King
• Miranda King, CASAC-T
• Kasandra Lynn Kinkead
• Raymond Jeffrey Kisiel, D.D.S.

• Adult Medicine Physician in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.