Active NPI
Kristen L Kinney, RN
- Registered Nurse
- Bradford, PA
National Provider Identifier
1376773853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN546219
- Practice address
- 20 School St
Bradford, PA 16701-1257 - Phone
- (814) 362-7466
- Fax
- (814) 362-9803
- NPI assigned
- Jul 20, 2009
- 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 | RN546219 | PA | Primary |
Addresses
Primary practice location
20 School St
Bradford, PA 16701-1257
Mailing address
20 School St
PO Box 465
Bradford, PA 16701-1257
Phone (814) 362-7466
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 |
|---|---|---|---|
| RN546219 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olean General Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Bradford, PA
- NPI 1073956850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1376773853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 SCHOOL ST",
"address_2": "PO BOX 465",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011257",
"telephone_number": "814-362-7466",
"fax_number": "814-362-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SCHOOL ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167011257",
"telephone_number": "814-362-7466",
"fax_number": "814-362-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "KRISTEN",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-20",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN546219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.