Individual provider Active NPI

Mary Anne Kandell, R. N.

  • Home Health Registered Nurse
  • East Quogue, NY
National Provider Identifier
1649528043
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
369668-1 Issued in NY
Practice address
5 Amys Path
East Quogue, NY 11942-4131
Phone
(631) 653-3887
Fax
(631) 653-3911
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 369668-1 NY Primary

Addresses

Primary practice location

5 Amys Path
East Quogue, NY 11942-4131

Mailing address

5 Amys Path
East Quogue, NY 11942-4131
Phone (631) 653-3887

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
369668-1NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1649528043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 AMYS PATH",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119424131",
            "telephone_number": "631-653-3887",
            "fax_number": "631-653-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 AMYS PATH",
            "city": "EAST QUOGUE",
            "state": "NY",
            "postal_code": "119424131",
            "telephone_number": "631-653-3887",
            "fax_number": "631-653-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDELL",
        "first_name": "MARY ANNE",
        "name_prefix": "Mrs.",
        "credential": "R. N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "369668-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Quogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.