Individual provider Active NPI

Kerry Anne Byrne, LPN

  • Licensed Practical Nurse
  • Cairo, NY
National Provider Identifier
1801611967
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
248577-01 Issued in NY
Practice address
905 Greene County Office BLDG
Cairo, NY 12413-2868
Phone
(518) 622-9163
Fax
(518) 622-8592
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 248577-01 NY Primary

Addresses

Primary practice location

905 Greene County Office BLDG
Cairo, NY 12413-2868

Mailing address

905 Greene County Office BLDG
Cairo, NY 12413-2868
Phone (518) 622-9163

Other identifiers 1

IdentifierTypeStateIssuer
248577-01OtherNYNY STATE DEPT. OF EDUCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
248577-01NYMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: kerrybyrne@gcmh.medentdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1801611967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 GREENE COUNTY OFFICE BLDG",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132868",
            "telephone_number": "518-622-9163",
            "fax_number": "518-622-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 GREENE COUNTY OFFICE BLDG",
            "city": "CAIRO",
            "state": "NY",
            "postal_code": "124132868",
            "telephone_number": "518-622-9163",
            "fax_number": "518-622-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "KERRY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "248577-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE DEPT. OF EDUCATION",
            "identifier": "248577-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.