Individual provider Active NPI

Kathleen A Brennessel, R.N.

  • Registered Nurse
  • Webster, NY
National Provider Identifier
1184943102
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
221546 Issued in NY
Practice address
2180 Empire Blvd
Visiting Nurse Service Signature Care
Webster, NY 14580-9921
Phone
(585) 787-2233
NPI assigned
Jun 1, 2010
Last updated
Jun 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 221546 NY Primary

Addresses

Primary practice location

2180 Empire Blvd
Visiting Nurse Service Signature Care
Webster, NY 14580-9921

Mailing address

9 Karenlee Dr
Rochester, NY 14618-5401
Phone (585) 427-0424

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
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1184943102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KARENLEE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185401",
            "telephone_number": "585-427-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 EMPIRE BLVD",
            "address_2": "VISITING NURSE SERVICE SIGNATURE CARE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809921",
            "telephone_number": "585-787-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNESSEL",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "221546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.