Active NPI
Kayla Rouse
- Specialist
- Cobleskill, NY
National Provider Identifier
1265076913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 921550151
- Practice address
- 395 N Grand St
Cobleskill, NY 12043-4168 - Phone
- (518) 234-8430
- NPI assigned
- Nov 5, 2019
- Last updated
- Nov 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 921550151 | NY | Primary |
Addresses
Primary practice location
395 N Grand St
Cobleskill, NY 12043-4168
Mailing address
82 Coventry CT
Voorheesville, NY 12186-9574
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krouse@wppkids.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 921550151 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1265076913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 COVENTRY CT",
"city": "VOORHEESVILLE",
"state": "NY",
"postal_code": "121869574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N GRAND ST",
"city": "COBLESKILL",
"state": "NY",
"postal_code": "120434168",
"telephone_number": "518-234-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "KAYLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-05",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "921550151",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krouse@wppkids.com",
"affiliation": "N",
"endpointDescription": "Secure Email",
"address_1": "395 N Grand St",
"city": "Cobleskill",
"state": "NY",
"country_code": "US",
"postal_code": "120434168",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cobleskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.