Individual provider Active NPI

Colette Kogut

  • Psychiatric/Mental Health Registered Nurse
  • Batavia, NY
National Provider Identifier
1225643885
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
435946DUP Issued in NY
Practice address
5130 East Main St Rd
Suite 2
Batavia, NY 14020
Phone
(585) 344-1421
Fax
(585) 345-3080
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 435946DUP NY Primary

Addresses

Primary practice location

5130 East Main St Rd
Suite 2
Batavia, NY 14020

Mailing address

5130 East Main St Rd
Suite 2
Batavia, NY 14020
Phone (585) 344-1421

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

State licenses

LicenseStateTypeSpecialty
435946DUPNYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Genesee County Treasurer CurrentSince Sep 13, 2020 Accepting new patients
County of Genesee County Treasurer PastSince Sep 13, 2020 Accepting new patients

Locations

5130 E Main Street Rd
Ste 2
Batavia, NY 14020
Phone (585) 344-1421

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1225643885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 EAST MAIN ST RD",
            "address_2": "SUITE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-344-1421",
            "fax_number": "585-345-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 EAST MAIN ST RD",
            "address_2": "SUITE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-344-1421",
            "fax_number": "585-345-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUT",
        "first_name": "COLETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "435946DUP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.