Active NPI
Katia Donnelly
- Registered Nurse
- Bayville, NY
National Provider Identifier
1831457233
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jun 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 475002
- Practice address
- 22 Sound Beach Ave
Bayville, NY 11709-2325 - Phone
- (516) 628-0177
- NPI assigned
- Apr 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 475002 | NY | Primary |
Addresses
Primary practice location
22 Sound Beach Ave
Bayville, NY 11709-2325
Mailing address
22 Sound Beach Ave
Bayville, NY 11709-2325
Phone (516) 628-0177
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 475002 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1831457233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SOUND BEACH AVE",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117092325",
"telephone_number": "516-628-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SOUND BEACH AVE",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117092325",
"telephone_number": "516-628-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "KATIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "475002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.