Kathleen Joan Wold, ANP EDD

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301130 Issued in NY

Practice address

33-57 Harrison St
Hospitalist Program - Tcu
Johnson City, NY 13790-2107

Phone

(607) 763-6622

Fax

(607) 763-5064

NPI assigned

Jan 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1386622090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "address_2": "UNITED MEDICAL ASSOCAITES PC",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902558",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "address_2": "HOSPITALIST PROGRAM - TCU",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6622",
            "fax_number": "607-763-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLD",
        "first_name": "KATHLEEN",
        "middle_name": "JOAN",
        "credential": "ANP EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F301130",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02463156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Devon Williamson, PA-C
• Kelly Wilmarth, C-FNP
• Mark Vincent Wilson, MD
• Rhonda Marie Winner-Dodzweit, COTA
• Jeffrey Scott Wiseman, M.D.
• Michael Wolff, MD
• Loren Wolsh, MD
• Women2Women Obstetrics and Gynecology, LLC
• Womens OBGYN PC
• Kenneth Ting-Hung Wong, M.D.

• Adult Health Nurse Practitioner in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.