Karen Ann Pollidore, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F307722-1 Issued in NY

Practice address

161 E Main St
Port Jervis, NY 12771-2113

Phone

(845) 856-3284

NPI assigned

Aug 16, 2016

Last updated

Jun 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: kpollidore@landmarkhealth-direct.org

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1750836144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND STREET, 3RD FL",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "570-409-0321",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 E MAIN ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712113",
            "telephone_number": "845-856-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLIDORE",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307722-1",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP016148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Pfaffe, MASTER OF ARTS
• Ram Phull, D.D.S.
• Physical Therapy Professional Care, PC
• Samantha Jade Piatt
• Edward Plotzker, MD
• Port Jervis Anesthesiology Associates, PLLC
• Port Jervis Chiropractic, P.C.
• Port Jervis City School District
• Port Jervis Family Health NP PC
• Port Jervis Pharmacy LLC (Medicine Shoppe)

• Adult Health Nurse Practitioner in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; 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.