Kourtney K Darrow, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · East Syracuse, NY
NPI 1417515552 · NPPES record last updated Jan 14, 2026
Key facts
- NPI
- 1417515552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 402634 (NY)
- Practice address
- 5856 Heritage Landing Dr
East Syracuse, NY 13057-9359 - Phone
- (877) 339-2873
- Fax
- (877) 339-6789
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190724003714 | NY | Practitioner - Nurse Practitioner | 3274869508 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Home of Jefferson County | Current |
Accepting new patients | |
| Children'S Home of Jefferson County | Current |
Accepting new patients | |
| Northern Oswego County Health Services, Inc. | Current |
Accepting new patients |
Locations
61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274
211 Jb Wise Pl
Watertown, NY 13601
Phone (315) 788-7430
167 Polk St
Ste 300
Watertown, NY 13601
Interoperability endpoints
- kdarrow@hiemail.healtheconnections.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402634 | NY | Yes |
| Psychiatry Physician | 2084P0800X | 402634 | NY |
Addresses
Primary practice location
5856 Heritage Landing Dr
East Syracuse, NY 13057-9359
Mailing address
5856 Heritage Landing Dr
East Syracuse, NY 13057-9359
Phone (877) 339-2873
Other providers in East Syracuse, NY
- Shaina Elizabeth Daley
- Timothy A Damron
- Stacy Michele Daniel
- Siva V Dantu
- Rhonda Lee Dantuono
- David M. Girardi, OD, LLC
- David Torrales, OD, PLLC
- Christopher Hugh Davis
- Nora Elizabeth Davis
- Anthony Richard Deboni
All providers in East Syracuse, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.