Individual provider Active NPI

Kimberly Elaine Cohens, LPN

  • Licensed Practical Nurse
  • Waterloo, NY
National Provider Identifier
1659655348
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
278202-1 Issued in NY
Practice address
402 Railroad Ave
Waterloo, NY 13165-1004
Phone
(585) 512-6697
NPI assigned
Sep 29, 2011
Last updated
Dec 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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 278202-1 NY Primary

Addresses

Primary practice location

402 Railroad Ave
Waterloo, NY 13165-1004

Mailing address

402 Railroad Ave
Waterloo, NY 13165-1004
Phone (585) 512-6697

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
278202-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1659655348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RAILROAD AVE",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651004",
            "telephone_number": "585-512-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RAILROAD AVE",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651004",
            "telephone_number": "585-512-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHENS",
        "first_name": "KIMBERLY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "278202-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.