Individual provider Active NPI

Audrey Kase

  • Licensed Practical Nurse
  • Kirkwood, NY
National Provider Identifier
1639737745
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN283731 Issued in PA
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

Updated by the provider on Jun 4, 2019

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 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

LicenseStateTypeSpecialty
PN283731PAMDLicensed 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.

Verify at the official NPI Registry.