Individual provider Active NPI

Kathleen Anne Bryla, REGISTERED NURSE

  • Registered Nurse
  • Huntington Station, NY
National Provider Identifier
1518303437
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
669087 Issued in NY
Practice address
54 Dorchester St
Huntington Station, NY 11746-8419
Phone
(631) 425-1520
NPI assigned
May 18, 2013
Last updated
May 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 669087 NY Primary

Addresses

Primary practice location

54 Dorchester St
Huntington Station, NY 11746-8419

Mailing address

54 Dorchester St
Huntington Station, NY 11746-8419
Phone (631) 425-1520

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

LicenseStateTypeSpecialty
669087NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368835200000",
    "number": "1518303437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 DORCHESTER ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117468419",
            "telephone_number": "631-425-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 DORCHESTER ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117468419",
            "telephone_number": "631-425-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYLA",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "669087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; 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.