Active NPI
Renee M. Kernan, M.S.
- Specialist
- Ballston Spa, NY
National Provider Identifier
1427327204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1391517
- Practice address
- 100 Wood Rd
Ballston Spa, NY 12020-2216 - Phone
- (518) 884-7270
- Fax
- (518) 884-7268
- NPI assigned
- Dec 22, 2011
- Last updated
- Dec 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1391517 | NY | Primary |
Addresses
Primary practice location
100 Wood Rd
Ballston Spa, NY 12020-2216
Mailing address
100 Wood Rd
Ballston Spa, NY 12020-2216
Phone (518) 884-7270
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1391517 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1427327204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WOOD RD",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202216",
"telephone_number": "518-884-7270",
"fax_number": "518-884-7268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WOOD RD",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202216",
"telephone_number": "518-884-7270",
"fax_number": "518-884-7268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNAN",
"first_name": "RENEE",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1391517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.