Individual provider Active NPI

Kathleen L O'Mara, FNP

  • Family Nurse Practitioner
  • Livingston Manor, NY
National Provider Identifier
1689750697
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
334094 Issued in NY
Practice address
43 Main St.
Livingston Manor, NY 12758-0800
Phone
(845) 439-8731
Fax
(845) 439-8370
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 334094 NY Primary

Addresses

Primary practice location

43 Main St.
Livingston Manor, NY 12758-0800

Mailing address

314 Tonjes Rd
Callicoon, NY 12723-5742
Phone (845) 482-3514

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
I20040420001553 NY Practitioner - Nurse Practitioner 5092701722 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334094NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Discovery Inc CurrentSince Jul 16, 2017 Accepting new patients
The Center for Discovery Inc CurrentSince Jul 16, 2017 Accepting new patients
Catskill Regional Medical Center Past Accepting new patients
Frumess Nurse Practitioner Family Health PLLC Family Past Accepting new patients
Atlantic Physician Services of Maryland, PC Past Accepting new patients
Atlantic Physician Services of Maryland, P.C. Past Accepting new patients

Locations

606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400

Interoperability endpoints

  • Direct secure messaging: komara@hiemail.healtheconnections.org

Organizations & group practices 6

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689750697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 TONJES RD",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235742",
            "telephone_number": "845-482-3514",
            "fax_number": "845-482-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAIN ST.",
            "city": "LIVINGSTON MANOR",
            "state": "NY",
            "postal_code": "127580800",
            "telephone_number": "845-439-8731",
            "fax_number": "845-439-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "KATHLEEN",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "334094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston Manor, NY

Sources for this page

Verify at the official NPI Registry.