Individual provider Active NPI

Coretta E Killikelly

  • Registered Nurse
  • Albany, NY
National Provider Identifier
1639725518
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
529069 Issued in NY
Practice address
1 Steuben PL
Albany, NY 12207-2107
Phone
(518) 334-2254
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Registered Nurse 163W00000X 529069 NY Primary

Addresses

Primary practice location

1 Steuben PL
Albany, NY 12207-2107

Mailing address

PO Box 38077
Albany, NY 12203-8077
Phone (518) 334-2254

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
529069NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rosegarden Healthcare Services Health Educator Current Accepting new patients
Cek RN Consulting, Inc Registered Nurse CurrentSince Apr 17, 2020 Accepting new patients

Locations

125 Wolf Rd
Ste 101
Albany, NY 12205
Phone (518) 334-2254

Organizations & group practices 2

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1639725518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38077",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122038077",
            "telephone_number": "518-334-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STEUBEN PL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072107",
            "telephone_number": "518-334-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIKELLY",
        "first_name": "CORETTA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "529069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.