Kathleen Chmura, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

575963-1 Issued in NY

Practice address

40 Polo Rd
Massapequa, NY 11758-5938

Phone

(516) 797-1964

NPI assigned

Sep 8, 2011

Last updated

Sep 8, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1851672414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 POLO RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585938",
            "telephone_number": "516-797-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 POLO RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585938",
            "telephone_number": "516-797-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHMURA",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "575963-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joey Cianci

• Registered Nurse in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.