Active NPI
Mary Kathryn Dollard, MSN, CRNP, APN
- Family Nurse Practitioner
- Monticello, NY
National Provider Identifier
1467729871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F351170
- Practice address
- 2 High St
Monticello, NY 12701-1343 - Phone
- (845) 791-8800
- Fax
- (845) 791-7051
- NPI assigned
- Nov 30, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00091800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | F351170 | NY | Primary |
| Nurse Practitioner | 363L00000X | SP008642 | PA |
Addresses
Primary practice location
2 High St
Monticello, NY 12701-1343
Mailing address
2 High St
Monticello, NY 12701-1343
Phone (845) 791-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26NJ00091800 | Other | NJ | LICENSE NJ |
| F351170 | Other | NY | LICENSE |
| SP008642 | Other | PA | LICENSE PA |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00091800 | NJ | MD | Nurse Practitioner |
| F351170 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy of Monticello Inc | Single Specialty | Current | Accepting new patients |
Locations
2 High St
Monticello, NY 12701
Phone (845) 791-8800
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1467729871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HIGH ST",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127011343",
"telephone_number": "845-791-8800",
"fax_number": "845-791-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HIGH ST",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127011343",
"telephone_number": "845-791-8800",
"fax_number": "845-791-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLARD",
"first_name": "MARY",
"middle_name": "KATHRYN",
"name_prefix": "Ms.",
"credential": "MSN, CRNP, APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00091800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F351170",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP008642",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NJ",
"identifier": "26NJ00091800",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "F351170",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE PA",
"identifier": "SP008642",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.