Individual provider Active NPI

Kathryn Hollie Boss, FNP-C

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1619537602
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344469-1 Issued in NY
Practice address
1675 Bennett St
Utica, NY 13502-5390
Phone
(315) 624-5252
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F344469-1 NY Primary

Addresses

Primary practice location

1675 Bennett St
Utica, NY 13502-5390

Mailing address

10529 Mapledale Rd
Barneveld, NY 13304-1825
Phone (315) 404-5604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916001999 NY Practitioner - Nurse Practitioner 0840529939 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F344469-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Jun 1, 2022 Accepting new patients
MVHS Inc CurrentSince Aug 12, 2019 Accepting new patients
MVHS Inc CurrentSince Aug 12, 2019 Accepting new patients

Locations

130 W Albany St
Herkimer, NY 13350
Phone (315) 634-6647

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

1904 Genesee St
Utica, NY 13502
Phone (315) 793-8856

230 N Genesee St
Utica, NY 13502
Phone (315) 275-3214

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1619537602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10529 MAPLEDALE RD",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133041825",
            "telephone_number": "315-404-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 BENNETT ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025390",
            "telephone_number": "315-624-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSS",
        "first_name": "KATHRYN",
        "middle_name": "HOLLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344469-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.