Amy Kordish

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN264760 Issued in PA

Practice address

321 Spruce St Ste 800
Scranton, PA 18503-1448

Phone

(570) 687-0589

NPI assigned

Jan 25, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signallamp Health

  • Case Manager/Care Coordinator
  • Scranton, PA
  • NPI 1316327406
  NPD (past)

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1609233436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST STE 800",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SPRUCE ST STE 800",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185031448",
            "telephone_number": "570-687-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDISH",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN264760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Joel Kohn, M.D.
• Michael Kokolus
• Frank Kolucki, MD
• Benjamin Raphael Kon
• Kristen Kondrosky
• Abu Koroma, CRNA
• Misty S Kosak, RD
• Sarah Marie Kosloski, LSW
• Christopher J Kotchick, DMD
• Daniel Kotok

• Licensed Practical Nurse in Scranton, PA
• Providers in Scranton, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.