Active NPI
Kathleen Dauz, RN
- Registered Nurse
- Farmingdale, NY
National Provider Identifier
1689178758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 718210
- Practice address
- 465 Smith St
Farmingdale, NY 11735-1118 - Phone
- (516) 494-4188
- NPI assigned
- Mar 22, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 718210 | NY | Primary |
Addresses
Primary practice location
465 Smith St
Farmingdale, NY 11735-1118
Mailing address
82 Washington Ave
Deer Park, NY 11729-6918
Other practice location 1
82 Washington Ave
Deer Park, NY 11729-6918
Phone (631) 455-8975
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 718210 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1689178758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 WASHINGTON AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117296918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 SMITH ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117351118",
"telephone_number": "516-494-4188"
}
],
"practiceLocations": [
{
"address_1": "82 Washington Ave",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "NY",
"postal_code": "117296918",
"country_code": "US",
"telephone_number": "631-455-8975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAUZ",
"first_name": "KATHLEEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "718210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.