Active NPI
Kathleen Helen Herrera, R.N
- Personal Emergency Response Attendant
- Manorville, NY
National Provider Identifier
1205208048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- 577916-1
- Practice address
- 27 Badger Rd
Manorville, NY 11949-3201 - Phone
- (631) 909-4379
- Fax
- (631) 909-4379
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 577916-1 | NY | Primary |
Addresses
Primary practice location
27 Badger Rd
Manorville, NY 11949-3201
Mailing address
27 Badger Rd
Manorville, NY 11949-3201
Phone (631) 909-4379
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 577916-1 | NY | MD | Personal Emergency Response Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1205208048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BADGER RD",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493201",
"telephone_number": "631-909-4379",
"fax_number": "631-909-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 BADGER RD",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119493201",
"telephone_number": "631-909-4379",
"fax_number": "631-909-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "KATHLEEN",
"middle_name": "HELEN",
"credential": "R.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-20",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "NY",
"license": "577916-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manorville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.