Jessica Atiya Kates, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

10025234 Issued in PA

Practice address

1735 Four Mile Dr Apt 12
Williamsport, PA 17701-1963

Phone

(717) 660-3306

NPI assigned

Dec 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Home Care

  • Home Health Agency
  • Williamsport, PA
  • NPI 1043979792
  NPD Authorized official

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1275292013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 FOUR MILE DR APT 12",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011963",
            "telephone_number": "717-660-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 FOUR MILE DR APT 12",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011963",
            "telephone_number": "717-660-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES",
        "first_name": "JESSICA",
        "middle_name": "ATIYA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "PA",
            "license": "10025234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen George Kaminski
• Shondra Kanda, LSW
• Adrienne Karaban-Purtell
• Karen A. Kaskie, CRNP
• Rana Kassis, M.D.
• Maninder Kaur
• Jeffrey P Keck Jr., M.D.
• Peter W. Keely, MA, D.MIN.
• William Francis Keenan, MD
• David Keene, LMT

• Nurse's Aide in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Nurse's Aide in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.