Active NPI
Kathaleen Healy, RN
- Registered Nurse
- Oswego, NY
National Provider Identifier
1306397872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 576903
- Practice address
- 110 West 6TH Street
Oswego, NY 13126 - Phone
- (315) 326-4227
- NPI assigned
- Oct 20, 2016
- Last updated
- Oct 20, 2016
- 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 | 576903 | NY | Primary |
Addresses
Primary practice location
110 West 6TH Street
Oswego, NY 13126
Mailing address
110 West 6TH Street
Oswego, NY 13126
Phone (315) 326-4227
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354485 | Medicaid | NY | |
| 01271109 | Medicaid | NY | |
| 70091A | Other | NY | MEDICARE ID TYPE UNSPECIFIED |
| 02369919 | Medicaid | NY | |
| 00914154 | Medicaid | NY | |
| 01414960 | Medicaid | NY | |
| 0271856 | Medicaid | NY |
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 |
|---|---|---|---|
| 576903 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1306397872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 WEST 6TH STREET",
"city": "OSWEGO",
"state": "NY",
"postal_code": "13126",
"telephone_number": "315-326-4227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 WEST 6TH STREET",
"city": "OSWEGO",
"state": "NY",
"postal_code": "13126",
"telephone_number": "315-326-4227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALY",
"first_name": "KATHALEEN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "576903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00354485",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01271109",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID TYPE UNSPECIFIED",
"identifier": "70091A",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02369919",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00914154",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01414960",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0271856",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.