Kiana Lee Ingoldsby, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

821020 Issued in NY

Practice address

12 Towpath LN
Waterford, NY 12188-4006

Phone

(518) 596-0017

NPI assigned

Nov 18, 2022

Sex

Female

Sole proprietor

No

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1194434001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CELESTE DR",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121444407",
            "telephone_number": "518-860-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TOWPATH LN",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121884006",
            "telephone_number": "518-596-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGOLDSBY",
        "first_name": "KIANA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "821020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Anne Galioto, MS CCC SLP
• Andrew Greenberg, FNP-BC
• Nicole Hawthorne, LMFT
• Shannon Henkel
• Jamie Lynn Hurley, LPN
• James T. Lefebvre DC, PLLC
• Robin Lee Jones, LMSW
• Timothy JM Kaercher, DDS
• Irina Inna Kaplan, MD
• Margaret Anne Kelly, PA-C

• Psychiatric/Mental Health Registered Nurse in Waterford, NY
• Providers in Waterford, NY by specialty
• Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.