Individual provider Active NPI

Katelyn Gonyo

  • School Registered Nurse
  • Champlain, NY
National Provider Identifier
1326951039
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
849124 Issued in NY
Practice address
103 Route 276
Champlain, NY 12919
Phone
(518) 298-8242
Fax
(518) 957-4153
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 849124 NY Primary

Addresses

Primary practice location

103 Route 276
Champlain, NY 12919

Mailing address

103 Route 276
Champlain, NY 12919
Phone (518) 298-8242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1326951039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ROUTE 276",
            "city": "CHAMPLAIN",
            "state": "NY",
            "postal_code": "12919",
            "telephone_number": "518-298-8242",
            "fax_number": "518-957-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ROUTE 276",
            "city": "CHAMPLAIN",
            "state": "NY",
            "postal_code": "12919",
            "telephone_number": "518-298-8242",
            "fax_number": "518-957-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONYO",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "849124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlain, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.