Kathleen Ann Cregan, FNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

330850 Issued in NY

Practice address

4417 Vestal Parkway East
Suite 200
Vestal, NY 13950-3556

Phone

(607) 797-1251

Fax

(607) 729-4393

NPI assigned

Sep 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• United Medical Associates PC

  • Clinic/Center
  • Binghamton, NY
  • NPI 1013972801
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1861591497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902558",
            "telephone_number": "607-719-8156",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 VESTAL PARKWAY EAST",
            "address_2": "SUITE 200",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "139503556",
            "telephone_number": "607-797-1251",
            "fax_number": "607-729-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGAN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "330850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03142692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Core Essentials Physical Therapy, PLLC
• Amy Rebecca Cousins, MD
• Julianna Cox, LMSW
• Colleen Mary Crandell, D.O.
• Angela Lynn Crawford, PHD
• Curtis Ophthalmology PLLC
• CVS Albany LLC
• CVS Albany LLC
• Catalina Dailey, FNP-C
• Daniel I McNichol MD Inc

• Pediatric Nurse Practitioner in Vestal, NY
• Providers in Vestal, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.