Kathleen W Anderson, RN
Individual provider Active NPI Registered Nurse · Skaneateles, NY
NPI 1275801482 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1275801482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 283546-1 (NY)
- Practice address
- 21 East St
Skaneateles, NY 13152-1302 - Phone
- (315) 685-6775
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283546-1 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 283546-1 | NY | Yes |
Addresses
Primary practice location
21 East St
Skaneateles, NY 13152-1302
Mailing address
21 East St
Skaneateles, NY 13152-1302
Phone (315) 685-6775
Other providers in Skaneateles, NY
- Janice Ahlers
- Rebecca Gail Anderson
- Lauren Kaufman Aronson
- Katie Arseneau
- Julie Ann Aspenleiter
- Janet Ann Austin
All providers in Skaneateles, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.