Active NPI
Becky Kogut
- Registered Nurse
- Utica, NY
National Provider Identifier
1467722173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 412167-1
- Practice address
- 2630 Remington Road
Utica, NY 13501 - Phone
- (315) 368-6746
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 412167-1 | NY | Primary |
Addresses
Primary practice location
2630 Remington Road
Utica, NY 13501
Mailing address
12 Hawthorne Rd
New Hartford, NY 13413-2247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412167-1 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 412167-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1467722173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 HAWTHORNE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 REMINGTON ROAD",
"city": "UTICA",
"state": "NY",
"postal_code": "13501",
"telephone_number": "315-368-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGUT",
"first_name": "BECKY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "412167-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412167-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.