Katherine Bailey Halstead, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F346103 Issued in NY

Practice address

28 1/2 E Main St
Marcellus, NY 13108-1298

Phone

(315) 673-9926

Fax

(315) 673-9465

NPI assigned

Aug 20, 2020

Last updated

Aug 20, 2020By 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 1

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

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.

• Marcellus Family Medicine PLLC

  • Family Medicine Physician
  • Marcellus, NY
  • NPI 1245427640
  Medicare reassignment NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1528670593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 NORTHFIELD WAY",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311303",
            "telephone_number": "315-481-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 1/2 E MAIN ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081298",
            "telephone_number": "315-673-9926",
            "fax_number": "315-673-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSTEAD",
        "first_name": "KATHERINE",
        "middle_name": "BAILEY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Gallup
• Jesse Alexander Garn, PT
• Kathleen Angelo Gilbert, RN
• Janis Ann Girt, D.C.
• Michelle C. Goldych, D.C.
• Maureen Anne Henesey, OTR/L
• Cynthia M Hesse, RN
• Nancy B Hudson, FNP-C
• Ja Spa, LLC (Ja Spa & Fitness, LLC)
• Erica Lee Jones, DPT, ATC

• Family Nurse Practitioner in Marcellus, NY
• Providers in Marcellus, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.