Individual provider Active NPI

Kristin Deanne Tooker, FNP

  • Family Nurse Practitioner
  • Oneida, NY
National Provider Identifier
1316004153
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333736 Issued in NY
Practice address
221 Broad St
Suite 201
Oneida, NY 13421-2178
Phone
(315) 363-5421
Fax
(315) 363-5472
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333736 NY Primary

Addresses

Primary practice location

221 Broad St
Suite 201
Oneida, NY 13421-2178

Mailing address

PO Box 2003
East Syracuse, NY 13057-4503
Phone (315) 446-3904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000216 NY Practitioner - Nurse Practitioner 1254418239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
333736NYMDFamily Medicine Physician
F333736NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Current Accepting new patients
Community Memorial Hospital CurrentSince Jan 1, 2023 Accepting new patients
Community Memorial Hospital Past Accepting new patients

Locations

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

Interoperability endpoints

  • Direct secure messaging: ktooker@hiemail.healtheconnections.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1316004153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574503",
            "telephone_number": "315-446-3904",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROAD ST",
            "address_2": "SUITE 201",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212178",
            "telephone_number": "315-363-5421",
            "fax_number": "315-363-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOKER",
        "first_name": "KRISTIN",
        "middle_name": "DEANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.