Kathleen P. Didonato, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340373 Issued in NY

Practice address

124 Rugby Rd
Syracuse, NY 13206-3225

Phone

(315) 437-1693

Fax

(315) 437-1831

NPI assigned

Jun 13, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Cap Medical, LLC

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1730346115
  NPD (past)
• Loretto Rest Realty Corporation

  • Clinic/Center
  • Syracuse, NY
  • NPI 1548366271
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1689617136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RUGBY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063225",
            "telephone_number": "315-437-1693",
            "fax_number": "315-437-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RUGBY RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063225",
            "telephone_number": "315-437-1693",
            "fax_number": "315-437-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDONATO",
        "first_name": "KATHLEEN",
        "middle_name": "P.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03118307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lee Dickinson, LPN
• Elizabeth Marie Dickinson
• Andrew Dickson, MD
• Cathleen Dickson, RN
• Tatyana V Didenko, CRNA
• Carly Diego, LMHC
• Kaitlyn Diego
• Carolyn Diehl
• Joan W Diehl, RN
• Colleen L Diekemper, MSN, FNP-C

• Gerontology Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.