Doreen Louise Kephart, ST

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

390524911 Issued in NY

Practice address

5860 Springhouse Rd
Rome, NY 13440-7859

Phone

(315) 292-3511

NPI assigned

Jun 22, 2011

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1811283468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 SPRINGHOUSE RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134407859",
            "telephone_number": "315-292-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 SPRINGHOUSE RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134407859",
            "telephone_number": "315-292-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPHART",
        "first_name": "DOREEN",
        "middle_name": "LOUISE",
        "credential": "ST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "390524911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Kelly, RN, LPN
• Daniel Steven Kemp, PT, DPT, CLT
• Ken Hall Enterprises LLC
• Keneth N Hall MD PC
• Bonny Kenneally, LPN
• Samir Khaldi
• Surinder Khokhar, M.D.
• Julie Kay Kincaud, LPN
• Heather Huhta Kirk
• Katherine A Kirk, CRNA

• Local Education Agency (LEA) in Rome, NY
• Providers in Rome, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.