Active NPI
Kathleen M Kenney-Riley, RNP
- Nurse Practitioner
- Bronx, NY
National Provider Identifier
1225185051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 380370
- Practice address
- 111 E 210TH St
MMC - Pediatric ER
Bronx, NY 10467-2401 - Phone
- (718) 741-2150
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 380370 | NY | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 12.008134 | CT |
Addresses
Primary practice location
111 E 210TH St
MMC - Pediatric ER
Bronx, NY 10467-2401
Mailing address
1 Landmark SQ
Apt # 613
Port Chester, NY 10573-3348
Phone (718) 741-2150
Other practice location 1
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380370 | NY | MD | Nurse Practitioner |
| 12.008134 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PM Pediatrics PC | Past | Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| PM Pediatrics of Mamaroneck | Past | Accepting new patients | |
| PM Pediatrics of Bayside PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Urgent Care Clinic/Center
- Nanuet, NY
- NPI 1861823197
-
- Urgent Care Clinic/Center
- Mamaroneck, NY
- NPI 1073645180
-
dba PM Pediatrics of Mamaroneck
- Urgent Care Clinic/Center
- Syosset, NY
- NPI 1730212390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1225185051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LANDMARK SQ",
"address_2": "APT # 613",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105733348",
"telephone_number": "718-741-2150",
"fax_number": "718-741-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "MMC - PEDIATRIC ER",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-741-2150"
}
],
"practiceLocations": [
{
"address_1": "5 Perryridge Rd",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068304608",
"country_code": "US",
"telephone_number": "203-863-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEY-RILEY",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "380370",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "12.008134",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.