Barbara Ann Kowulich, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000902 Issued in NY

Practice address

4 Nicole Capri Way
W Henrietta, NY 14586-9584

Phone

(585) 334-9062

NPI assigned

Jan 27, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1609172485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NICOLE CAPRI WAY",
            "city": "W HENRIETTA",
            "state": "NY",
            "postal_code": "145869584",
            "telephone_number": "585-334-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NICOLE CAPRI WAY",
            "city": "W HENRIETTA",
            "state": "NY",
            "postal_code": "145869584",
            "telephone_number": "585-334-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWULICH",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan A Cornman, MOT, OTR/L
• Tynisha Lashae Hill, LPN
• Dante Tyrone Hooker, LPN
• Nandi Jeffries
• Shawntalae Johnson, LPN
• Caitlin Magiera
• Tanjarnea Sherrese McCowen, LPN
• Seema Mehta
• Moral Home Care Services LLC
• Carolyn Privitera, R.PH.

• Medical Physician Assistant in W Henrietta, NY
• Providers in W Henrietta, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.