Kathleen R Cornell, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F339768 Issued in NY

Practice address

848 Route 50
Burnt Hills, NY 12027

Phone

(518) 831-1500

Fax

(518) 280-8464

NPI assigned

Sep 18, 2015

Last updated

Nov 5, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2967/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthcare Partners of Saratoga LTD

  dba Malta Med Emergent Care

  • Urgent Care Clinic/Center
  • Malta, NY
  • NPI 1700159613
  Medicare reassignment NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment NPD
• Community Health Center of Cape Cod, Inc.

  • Community Health Clinic/Center
  • Mashpee, MA
  • NPI 1821193145
  Medicare reassignment NPD
• Mamdouh Riad MD PC

  • Specialist
  • Hyannis, MA
  • NPI 1639279342
  Medicare reassignment NPD
• Saratoga Hospital

  dba The Community Pharmacy at Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Urgent Care Clinic/Center
  • Saratoga Springs, NY
  • NPI 1942358825
  NPD
• Community Health Center of Cape Cod Inc

  • Emergency Care Clinic/Center
  • North Falmouth, MA
  • NPI 1194485771
  NPD

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1801265947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 COMMERCIAL ST",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496507",
            "telephone_number": "508-477-7090",
            "fax_number": "507-477-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-831-1500",
            "fax_number": "518-280-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "KATHLEEN",
        "middle_name": "R",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F339768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Cannata, LCSW-R
• Ashley Chandler, LMSW
• Shawn A Chaudhary, M.D.
• Rachel R Chester, PSY.D.
• Conifer Park, Inc.
• Chad M. Cornish, M.D.
• CVS Albany LLC (CVS Pharmacy # 02072)
• Erica K Debie-Hunt, CD(DONA)
• John F Defrancisco, M.D.
• Laurie Anne Delucia Fearman, DDS

• Nurse Practitioner in Burnt Hills, NY
• Providers in Burnt Hills, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.