Active NPI
Audrey Kase
- Licensed Practical Nurse
- Kirkwood, NY
National Provider Identifier
1639737745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN283731
- Practice address
- 17 Hays Ave
Kirkwood, NY 13795-1418 - Phone
- (607) 761-7111
- NPI assigned
- Jun 4, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN283731 | PA | Primary |
Addresses
Primary practice location
17 Hays Ave
Kirkwood, NY 13795-1418
Mailing address
91 Mountain Vista LN
Great Bend, PA 18821-9547
Other practice location 1
91 Mountain Vista Ln
Great Bend, PA 18821-9547
Phone (570) 407-1333
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 |
|---|---|---|---|
| PN283731 | PA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1639737745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 MOUNTAIN VISTA LN",
"city": "GREAT BEND",
"state": "PA",
"postal_code": "188219547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 HAYS AVE",
"city": "KIRKWOOD",
"state": "NY",
"postal_code": "137951418",
"telephone_number": "607-761-7111"
}
],
"practiceLocations": [
{
"address_1": "91 Mountain Vista Ln",
"address_purpose": "LOCATION",
"city": "Great Bend",
"state": "PA",
"postal_code": "188219547",
"country_code": "US",
"telephone_number": "570-407-1333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASE",
"first_name": "AUDREY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PA",
"license": "PN283731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.