Kaitlyn Louise Benedetto, PN
Individual provider Active NPI Licensed Practical Nurse · Rome, NY
NPI 1780145656 · NPPES record last updated Dec 10, 2021
Key facts
- NPI
- 1780145656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 334825 (NY)
- Practice address
- 6450 Anderegg Dr
Rome, NY 13440-7321 - Phone
- (315) 825-1233
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Advanced Practice Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334825 | NY | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | 334825 | NY | Yes |
Addresses
Primary practice location
6450 Anderegg Dr
Rome, NY 13440-7321
Mailing address
6450 Anderegg Dr
Rome, NY 13440-7321
Phone (315) 825-1233
Other providers in Rome, NY
- Jan Bass
- Heather Ann Bates
- George James Bauries II
- Beatrice Bayona
- Jessica Beckwith
- Christina Marie Benn
- Marc C. Berardino
- Eric P Berger
- Chloe Nadine Bergman
- Sara Nicole Bessette
All providers in Rome, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.