Individual provider Active NPI

Kathleen Lemarie, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Yonkers, NY
National Provider Identifier
1255769808
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306580 Issued in NY
Practice address
409 N Broadway Apt 39
Yonkers, NY 10701-1935
Phone
(914) 623-7182
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306580 NY Primary

Addresses

Primary practice location

409 N Broadway Apt 39
Yonkers, NY 10701-1935

Mailing address

409 N Broadway Apt 39
Yonkers, NY 10701-1935
Phone (914) 623-7182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170220002360 NY Practitioner - Nurse Practitioner 8426331398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306580NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kathleen.lemarie.1@25238.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1255769808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N BROADWAY APT 39",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011935",
            "telephone_number": "914-623-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N BROADWAY APT 39",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011935",
            "telephone_number": "914-623-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMARIE",
        "first_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.