Individual provider Active NPI

Kathleen M Pratt, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1679348536
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311676 Issued in NY
Practice address
1177 E Henrietta Rd
Rochester, NY 14623-2616
Phone
(585) 424-4770
Fax
(585) 424-1922
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311676 NY Primary

Addresses

Primary practice location

1177 E Henrietta Rd
Rochester, NY 14623-2616

Mailing address

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-0526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130002395 NY Practitioner - Nurse Practitioner 1456704097 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311676NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital of Rochester Current Accepting new patients
Infectious Disease Clinical CurrentSince Apr 1, 2024 Accepting new patients
University of Rochester CurrentSince Apr 1, 2024 Accepting new patients
Highland Hospital of Rochester CurrentSince Jan 29, 2024 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester CurrentSince Apr 1, 2024 Accepting new patients
Highland Hospital of Rochester CurrentSince Jan 29, 2024 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

601 Elmwood Ave
#689
Rochester, NY 14642
Phone (585) 275-0526

1870 Winton Rd S
Ste 100
Rochester, NY 14618
Phone (585) 276-0830

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1177 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-4770

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1679348536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-0526",
            "fax_number": "585-340-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 E HENRIETTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232616",
            "telephone_number": "585-424-4770",
            "fax_number": "585-424-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.