Individual provider Active NPI

Karen Marlene Gill, R.N.

  • Registered Nurse
  • Utica, NY
National Provider Identifier
1609173574
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
329316-1 Issued in NY
Practice address
1500 Genesee Street
Mental Health Connections
Utica, NY 13502-5104
Phone
(315) 735-9501
NPI assigned
Feb 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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 329316-1 NY Primary

Addresses

Primary practice location

1500 Genesee Street
Mental Health Connections
Utica, NY 13502-5104

Mailing address

920 Elwood St
Rome, NY 13440-2933
Phone (315) 533-6097

Other identifiers 1

IdentifierTypeStateIssuer
03007343OtherNYROME NY MENTAL HEALTH CONNECTIONS: 01158465

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
329316-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1609173574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ELWOOD ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402933",
            "telephone_number": "315-533-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GENESEE STREET",
            "address_2": "MENTAL HEALTH CONNECTIONS",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025104",
            "telephone_number": "315-735-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KAREN",
        "middle_name": "MARLENE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "329316-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROME NY MENTAL HEALTH CONNECTIONS: 01158465",
            "identifier": "03007343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.