Active NPI
Katherine Barrett
- Nurse Practitioner
- Kings Park, NY
National Provider Identifier
1609314913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 340694
- Practice address
- 125 E Main St
902
Kings Park, NY 11754-6050 - Phone
- (516) 413-5766
- NPI assigned
- Feb 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 340694 | NY | Primary |
Addresses
Primary practice location
125 E Main St
902
Kings Park, NY 11754-6050
Mailing address
PO Box 902
Rural Route 25a
Kings Park, NY 11754
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
| License | State | Type | Specialty |
|---|---|---|---|
| 340694 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1609314913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 902",
"address_2": "RURAL ROUTE 25A",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "11754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E MAIN ST",
"address_2": "902",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117546050",
"telephone_number": "516-413-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "340694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.