Edith Konesni, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-191 Issued in ME

Practice address

150 Main Road
Islesboro, ME 04848-0137

Phone

(207) 734-2213

Fax

(207) 734-8392

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1659468825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 FAHEY ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156028",
            "telephone_number": "207-338-1120",
            "fax_number": "207-338-9784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MAIN ROAD",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048480137",
            "telephone_number": "207-734-2213",
            "fax_number": "207-734-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONESNI",
        "first_name": "EDITH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ME",
            "license": "PA-191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288030099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Owen Howell, PA
• Isleboro Schoold District
• Islesboro Central School
• Kathleen B Kerr, MSN; APRN, CNS
• Michael Edward Kerr, M.D.
• Elizabeth J O'Mara, FNP-BC
• The Beacon Project
• Town of Islesboro
• Town of Islesboro
• Dorie Anne Weir, FNP

• Medical Physician Assistant in Islesboro, ME
• Providers in Islesboro, ME by specialty
• Medical Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.