Kimberlee Barresi, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307923-1 Issued in NY

Practice address

207 Glen Cove Ave
Sea Cliff, NY 11579-1455

Phone

(516) 676-1742

NPI assigned

Nov 4, 2016

Last updated

Jan 29, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kab110pcs@m1461.primeclinicalsystems.direct-ci.com

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.

• North Shore Primary Care Medical Associates, PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1548287410
  Medicare reassignment NPD

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485648000000",
    "number": "1467994608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GLEN COVE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791455",
            "telephone_number": "516-676-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GLEN COVE AVE",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791455",
            "telephone_number": "516-676-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRESI",
        "first_name": "KIMBERLEE",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2017-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307923-1",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F307923-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Amemasor
• Amie Marie Anci, OTR/L
• Carlo Annese, MD
• Kerylee Anstey
• Gayle R Bardin-Daversa
• Heidi Louise Beck
• Bell Professional Massage Therapy
• Lorraine Fortune Bertino, PHD, LCSW
• Besscription Inc
• Besscription Inc. (BesScription)

• Adult Health Nurse Practitioner in Sea Cliff, NY
• Providers in Sea Cliff, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2017; 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.