Kelly M Denne-Maher

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

350122 Issued in NY

Practice address

736 Irving Ave
Suite 9100
Syracuse, NY 13210-1687

Phone

(315) 470-7379

Fax

(315) 470-2923

NPI assigned

Jun 19, 2008

Last updated

Jun 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Medicare reassignment NPD
• Neonatal Associates of Central New York PC

  • Neonatal-Perinatal Medicine Physician
  • Syracuse, NY
  • NPI 1225253271
  NPD (past)
• Neonatal Medical Transport PLLC

  • Personal Emergency Response Attendant
  • Syracuse, NY
  • NPI 1558586511
  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1417118738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "address_2": "SUITE 9100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7379",
            "fax_number": "315-470-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "address_2": "SUITE 9100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7379",
            "fax_number": "315-470-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNE-MAHER",
        "first_name": "KELLY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NY",
            "license": "350122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lynne Denby, MS, CCC-SLP
• Jasmine Daisy Denegal
• Lora M Denero
• Fangming Deng, M.D.
• Jia Ci Deng
• Craig Francis Dennis, PHARM D
• Daniel Thomas Dennis Jr., FNP
• Katie Dennis
• Meagan Y Dennis
• Nikia Dennis, LMSW

• Neonatal Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Neonatal Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.