Kathleen Louise Wunderlich, N.P.

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

F360057-1 Issued in NY

Practice address

66 Brinker Hoff Street
Planned Parenthood of the North Country New York, Inc.
Plattsburgh, NY 12901

Phone

(518) 561-0605

Fax

(518) 561-4522

NPI assigned

Jun 4, 2012

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 names 1

• Ms. Kathie Louise Wunderlich Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kathleen.wunderlich.p2@direct.usppny.nextgenshare.com

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1659632909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 STONE STREET",
            "address_2": "PLANNED PARENTHOOD OF THE NORTH COUNTRY NEW YORK INC.",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-782-1818",
            "fax_number": "315-788-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BRINKER HOFF STREET",
            "address_2": "PLANNED PARENTHOOD OF THE NORTH COUNTRY NEW YORK, INC.",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-561-0605",
            "fax_number": "518-561-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "KATHLEEN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "F360057-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHIE",
            "last_name": "WUNDERLICH",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kari Anne Wood, PTA
• Sara Wood, LMSW
• Sarah Beth Wood, MSN, FNP, PMHNP-BC
• Jenna Marie Worley
• Makenzie Wright
• Jana Lee Wynnik, OTA
• Ruxing Xing, MD
• Sarah Olivia Yancey, LMHC
• Stanley Yang, MD
• Caroline Penfield Yavetz, MD

• Obstetrics & Gynecology Nurse Practitioner in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Obstetrics & Gynecology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.