Kathleen Ann Kissane, RN, CLC, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

269736-1 Issued in NY

Practice address

99 E State St
Gloversville, NY 12078-1203

Phone

(518) 725-8621

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1609380161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "LAKE PLEASANT",
            "state": "NY",
            "postal_code": "121080143",
            "telephone_number": "518-548-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-725-8621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Overlook Drive",
            "address_purpose": "LOCATION",
            "city": "Lake Pleasant",
            "state": "NY",
            "postal_code": "121080143",
            "country_code": "US",
            "telephone_number": "518-548-7301",
            "fax_number": "518-548-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSANE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "RN, CLC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "269736-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "269736-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parvathi S Kesari, MD
• Hesaraghatta Buddappa Keshava, M.D.
• Elisa Yeonhee Kim
• Kimberly Jankunas LCSW PLLC
• Dwain O King, LPN
• Jessica Klingler
• Rachel Anna Knaust, DDS
• Tracy Lynn Knecht, RN
• Daniel Kolesnikov, LCSW R
• Kathleen Ann Kosinski, PT

• Lactation Consultant (Registered Nurse) in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Lactation Consultant (Registered Nurse) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.