Individual provider Active NPI

Kathleen Oconnor, M.S.,CCC-A

  • Audiologist
  • West Nyack, NY
National Provider Identifier
1407002389
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001203-1 Issued in NY
Practice address
2 Strawtown Rd
Suite 6&7
West Nyack, NY 10994-1847
Phone
(845) 727-1350
Fax
(845) 727-1349
NPI assigned
Aug 12, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 001203-1 NY Primary

Addresses

Primary practice location

2 Strawtown Rd
Suite 6&7
West Nyack, NY 10994-1847

Mailing address

2 Strawtown Rd
Suite 6&7
West Nyack, NY 10994-1847
Phone (845) 727-1350

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
Master of Science

State licenses

LicenseStateTypeSpecialty
001203-1NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1407002389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STRAWTOWN RD",
            "address_2": "SUITE 6&7",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941847",
            "telephone_number": "845-727-1350",
            "fax_number": "845-727-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STRAWTOWN RD",
            "address_2": "SUITE 6&7",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941847",
            "telephone_number": "845-727-1350",
            "fax_number": "845-727-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "KATHLEEN",
        "credential": "M.S.,CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001203-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.