Active NPI
Kathleen A Poland, RN
- Registered Nurse
- Gowanda, NY
National Provider Identifier
1265715528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 22 398939
- Practice address
- 10674 Prospect St
Gowanda, NY 14070-1344 - Phone
- (716) 532-3325
- Fax
- (716) 995-2184
- NPI assigned
- Sep 23, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 22 398939 | NY | Primary |
Addresses
Primary practice location
10674 Prospect St
Gowanda, NY 14070-1344
Mailing address
10674 Prospect St
Gowanda, NY 14070-1344
Phone (716) 532-3325
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 |
|---|---|---|---|
| 22 398939 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Klubek | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Gowanda, NY
- NPI 1891974499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1265715528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10674 PROSPECT ST",
"city": "GOWANDA",
"state": "NY",
"postal_code": "140701344",
"telephone_number": "716-532-3325",
"fax_number": "716-995-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10674 PROSPECT ST",
"city": "GOWANDA",
"state": "NY",
"postal_code": "140701344",
"telephone_number": "716-532-3325",
"fax_number": "716-995-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAND",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "22 398939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gowanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.