Kari Coots

Individual provider Active NPI Licensed Practical Nurse · Hornell, NY

NPI 1699499012 · NPPES record last updated Sep 29, 2022

Key facts

NPI
1699499012
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
331070-01 (NY)
Practice address
7309 Seneca Rd N
Hornell, NY 14843-9691
Phone
(585) 335-5052
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
331070-01NYMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 331070-01 NY Yes

Addresses

Primary practice location

7309 Seneca Rd N
Hornell, NY 14843-9691

Mailing address

32 Whiting St
Bath, NY 14810-1144

Other identifiers

IdentifierTypeStateIssuer
16-1039939MedicaidNY
16-1039939OtherALL OTHER INSURNACES

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kcoots@casa-trinity.org

Other providers in Hornell, NY

All providers in Hornell, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.