Individual provider Active NPI

Kathryn Rebecca Padalino, RN

  • Local Education Agency (LEA)
  • Averill Park, NY
National Provider Identifier
1700200615
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Practice address
345 Weatherwax Rd
Averill Park, NY 12018-5921
Phone
(518) 466-7999
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

345 Weatherwax Rd
Averill Park, NY 12018-5921

Mailing address

345 Weatherwax Rd
Averill Park, NY 12018-5921
Phone (518) 466-7999

Other identifiers 1

IdentifierTypeStateIssuer
01379024MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1700200615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WEATHERWAX RD",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120185921",
            "telephone_number": "518-466-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 WEATHERWAX RD",
            "city": "AVERILL PARK",
            "state": "NY",
            "postal_code": "120185921",
            "telephone_number": "518-466-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADALINO",
        "first_name": "KATHRYN",
        "middle_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01379024",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Averill Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.