Kathleen A Avila, ANP RN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301174 Issued in NY

Practice address

1400 Pelham Pkwy S
B #1 Room 4W6 Jacobi Medical Center
Bronx, NY 10461-1138

Phone

(718) 918-6036

Fax

(718) 918-7701

NPI assigned

Nov 1, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1487731840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WENDY RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125902008",
            "telephone_number": "845-297-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "address_2": "B #1 ROOM 4W6 JACOBI MEDICAL CENTER",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611138",
            "telephone_number": "718-918-6036",
            "fax_number": "718-918-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "ANP RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "232380",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avighna RX LLC (Pulse Pharmacy)
• Kissy Avila Calderon, LCSW
• Allan Avila Castillo
• Rebecca Avila-Rieger, PHD
• Gilmar Andre Avila
• Luis Avila
• Manuel Avila
• Thelma Iris Aviles-Sosa, SPEECH PATHOLOGIST
• Deborah Evelise Aviles, THERAPIST
• Kawalewski Aviles

• Adult Health Nurse Practitioner in Bronx, NY
• Providers in Bronx, 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 Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.