Individual provider Active NPI

Sherry Koivunen, RNFA

  • Technician
  • Mount Kisco, NY
National Provider Identifier
1326241647
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
TechnicianTaxonomy code 374700000X
License
4980661 Issued in NY
Practice address
Plastic and Reconstructive Surgery
400 East Main Street
Mount Kisco, NY 10549
Phone
(914) 242-7610
Fax
(914) 241-3239
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician 374700000X 4980661 NY Primary

Addresses

Primary practice location

Plastic and Reconstructive Surgery
400 East Main Street
Mount Kisco, NY 10549

Mailing address

Plastic and Reconstructive Surgery
400 East Main Street
Mount Kisco, NY 10549
Phone (914) 242-7610

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

State licenses

LicenseStateTypeSpecialty
4980661NYMDTechnician

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326241647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLASTIC AND RECONSTRUCTIVE SURGERY",
            "address_2": "400 EAST MAIN STREET",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-242-7610",
            "fax_number": "914-241-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLASTIC AND RECONSTRUCTIVE SURGERY",
            "address_2": "400 EAST MAIN STREET",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "914-242-7610",
            "fax_number": "914-241-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOIVUNEN",
        "first_name": "SHERRY",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "NY",
            "license": "4980661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.