Individual provider Active NPI

Nellene Alaine Kappaus, LPN

  • Licensed Practical Nurse
  • Norwich, NY
National Provider Identifier
1639448715
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
277906-1 Issued in NY
Practice address
89 Midland Dr
Norwich, NY 13815-1948
Phone
(607) 334-1600
Fax
(607) 334-6680
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 277906-1 NY Primary

Addresses

Primary practice location

89 Midland Dr
Norwich, NY 13815-1948

Mailing address

89 Midland Dr
Norwich, NY 13815-1948
Phone (607) 334-1600

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

LicenseStateTypeSpecialty
277906-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1639448715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MIDLAND DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151948",
            "telephone_number": "607-334-1600",
            "fax_number": "607-334-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MIDLAND DR",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151948",
            "telephone_number": "607-334-1600",
            "fax_number": "607-334-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPPAUS",
        "first_name": "NELLENE",
        "middle_name": "ALAINE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "277906-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.