Active NPI
Kathleen Couden, CRNA
- Anesthesiology Physician
- Riverhead, NY
National Provider Identifier
1386715605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 18835-1
- Practice address
- 1300 Roanoke Ave
Riverhead, NY 11901-2031 - Phone
- (631) 548-6000
- NPI assigned
- Nov 10, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 18835-1 | NY | Primary |
Addresses
Primary practice location
1300 Roanoke Ave
Riverhead, NY 11901-2031
Mailing address
333 Route 25a
Suite225
Rocky Point, NY 11778-8556
Phone (631) 744-3671
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18835-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peconic Anesthesiologist, P.C. | Anesthesiology | 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.
-
- Anesthesiology Physician
- Riverhead, NY
- NPI 1336167881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1386715605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 ROUTE 25A",
"address_2": "SUITE225",
"city": "ROCKY POINT",
"state": "NY",
"postal_code": "117788556",
"telephone_number": "631-744-3671",
"fax_number": "631-744-6205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ROANOKE AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012031",
"telephone_number": "631-548-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUDEN",
"first_name": "KATHLEEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "18835-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.