Individual provider Active NPI

Catherine Mary Okoniewski, FNP

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1417069121
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330946-1 Issued in NY
Practice address
110 W 6TH St
C/O Oswego Hospital - Suite G70
Oswego, NY 13126-2507
Phone
(315) 349-5760
Fax
(315) 349-5785
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

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
Family Nurse Practitioner 363LF0000X F330946-1 NY Primary

Addresses

Primary practice location

110 W 6TH St
C/O Oswego Hospital - Suite G70
Oswego, NY 13126-2507

Mailing address

94 Rathburn Rd
Fulton, NY 13069-4171
Phone (315) 598-6784

Other identifiers 1

IdentifierTypeStateIssuer
00354485MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F330946-1NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: cokoniewski@oswegohealth.hiemail.healtheconnections.org

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417069121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 RATHBURN RD",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130694171",
            "telephone_number": "315-598-6784",
            "fax_number": "315-598-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 6TH ST",
            "address_2": "C/O OSWEGO HOSPITAL - SUITE G70",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262507",
            "telephone_number": "315-349-5760",
            "fax_number": "315-349-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONIEWSKI",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330946-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.