Rebecca Kurtz

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

312003 Issued in NY

Practice address

195 Intrepid LN
Syracuse, NY 13205-2544

Phone

(315) 469-8700

Fax

(315) 930-2096

NPI assigned

Jun 17, 2024

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1770326894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BLUEBERRY LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192104",
            "telephone_number": "315-708-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 INTREPID LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052544",
            "telephone_number": "315-469-8700",
            "fax_number": "315-930-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "673844-01",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay A Kurek, AU.D.
• Lawrence E Kurlandsky, MD
• Kaku Kuroda, MD
• Audrey Kurtz, RN
• Jacob Charles Kurtz, PA-C
• Krishna Kurup, DMD
• Neenu Kuruvilla
• Esther Hariet Kusigalawo, RN
• Mary Frances Kusior, MD
• Atta Kutin-Boateng Jr., MD

• Adult Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, 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 Sep 9, 2024; 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.