Active NPI
Kelly Jean Koegel
- Specialist
- New York Mills, NY
National Provider Identifier
1659970317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 335 Main St
New York Mills, NY 13417-1280 - Phone
- (315) 382-4781
- NPI assigned
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
335 Main St
New York Mills, NY 13417-1280
Mailing address
335 Main St
New York Mills, NY 13417-1280
Phone (315) 382-4781
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Koegelkj@lemoyne.edu |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1659970317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 MAIN ST",
"city": "NEW YORK MILLS",
"state": "NY",
"postal_code": "134171280",
"telephone_number": "315-382-4781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 MAIN ST",
"city": "NEW YORK MILLS",
"state": "NY",
"postal_code": "134171280",
"telephone_number": "315-382-4781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEGEL",
"first_name": "KELLY",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Koegelkj@lemoyne.edu",
"affiliation": "N",
"address_1": "335 Main St",
"city": "New York Mills",
"state": "NY",
"country_code": "US",
"postal_code": "134171280",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York Mills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.