Angela Kohlmeier

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

306806-01 Issued in NY

Practice address

211 Hamilton Rd
Fairport, NY 14450-9711

Phone

(585) 421-4648

NPI assigned

Oct 19, 2022

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

State licenses

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1790401909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 BAY RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145804013",
            "telephone_number": "158-575-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HAMILTON RD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144509711",
            "telephone_number": "585-421-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLMEIER",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "306806-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Beth Kling Simonian, MSPT
• Shelby Christine Klippel, OTR/L
• Jonathan Kloss, OTR/L
• Alicia Knutson
• Colleen Ann Kohl, RN
• Bonnie Sue Kompare, MS,OTR
• David William Kopp, MD
• Korn and Romano DDS PLLC
• Stephen Michael Korn, D.D.S.
• Karen M Kovach, SP. ED. TEACHER

• Licensed Practical Nurse in Fairport, NY
• Providers in Fairport, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.