Individual provider Active NPI

Kaydean Harris, FNP-BC

  • Family Nurse Practitioner
  • Farmington, NY
National Provider Identifier
1760964894
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343306-1 Issued in NY
Practice address
1160 Corporate Dr
Farmington, NY 14425-9534
Phone
(585) 924-1510
NPI assigned
Sep 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343306 NY
Family Nurse Practitioner 363LF0000X F343306-1 NY Primary

Addresses

Primary practice location

1160 Corporate Dr
Farmington, NY 14425-9534

Mailing address

55 Marlborough Rd
Rochester, NY 14619-1407
Phone (585) 509-5782

Other practice location 1

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6000

Other practice location 2

800 W Miller St Ste 11
Newark, NY 14513-1354
Phone (315) 226-8900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kharris75751@direct.urmc.rochester.edu Direct
Direct Messaging Address kharris75751@direct.urmc.rochester.edu Direct

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
I20190124000231 NY Practitioner - Nurse Practitioner 8123365483 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343306NYMDFamily Nurse Practitioner
F343306-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wny House Physician PLLC CurrentSince Jul 1, 2022 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Nov 26, 2018 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Nov 26, 2018 Accepting new patients

Locations

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

73 Buffalo St
Ste 100
Canandaigua, NY 14424

1160 Corporate Dr
Farmington, NY 14425
Phone (585) 742-3574

800 W Miller St
Ste 11
Newark, NY 14513
Phone (315) 226-8900

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: kharris75751@direct.urmc.rochester.edu

Organizations & group practices 3

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": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1760964894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MARLBOROUGH RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191407",
            "telephone_number": "585-509-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CORPORATE DR",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144259534",
            "telephone_number": "585-924-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Parrish St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241731",
            "country_code": "US",
            "telephone_number": "585-396-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Miller St Ste 11",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131354",
            "country_code": "US",
            "telephone_number": "315-226-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAYDEAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343306",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343306-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kharris75751@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kharris75751@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, NY

Sources for this page

Verify at the official NPI Registry.