Kathyana Rose Garcon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

613203 Issued in NY

Practice address

35 Roe Ave
Port Jefferson Station, NY 11776-4476

Phone

(631) 428-5711

NPI assigned

Nov 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1740723683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ROE AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764476",
            "telephone_number": "631-428-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ROE AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764476",
            "telephone_number": "631-428-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCON",
        "first_name": "KATHYANA",
        "middle_name": "ROSE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "613203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Steven Gambino, DDS
• Katrina Rose Gangji
• Farzana Mohamed Garcia, DO
• Marnie Garcia
• Oswaldo Garcia, NP
• Diane Alice Gariepy, LCSWR
• Anne C Garito, LCSW
• Staciann Garry
• Gastroenterology Associates of Suffolk, P.C.
• Thomas Geantasio

• Registered Nurse in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; 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.