Individual provider Active NPI

Colleen M Kurtz, RPA-C

  • Medical Physician Assistant
  • Niagara Falls, NY
National Provider Identifier
1396845517
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006030-1 Issued in NY
Practice address
6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071
Phone
(716) 297-7040
Fax
(716) 297-7048
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Medical Physician Assistant 363AM0700X 006030-1 NY Primary

Addresses

Primary practice location

6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071

Mailing address

6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071
Phone (716) 297-7040

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006030-1NYMDOccupational Therapy Assistant
0060301NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joel H Paull DDS MD PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396845517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "address_2": "SUITE 1700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-297-7040",
            "fax_number": "716-297-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "address_2": "SUITE 1700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-297-7040",
            "fax_number": "716-297-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006030-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, 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.