Kathleen Alyce Connolly, N.P

Primary specialty

Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X

License

430459 Issued in NY

Practice address

306 W 73Rd St Apt 4a
New York, NY 10023-1662

Phone

(917) 696-4629

NPI assigned

Jun 29, 2009

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1861620866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 73RD ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231662",
            "telephone_number": "917-696-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 73RD ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231662",
            "telephone_number": "917-696-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "KATHLEEN",
        "middle_name": "ALYCE",
        "credential": "N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "NY",
            "license": "430459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Patricia Connolly, M.D.
• Elizabeth Connolly, LMSW
• Erin Lynne Connolly, PMHNP
• James Gregory Connolly
• Julie Anne Connolly, DDS, MPH, MS
• Kelly Ann Connolly, MD
• Kristina Connolly
• Maggie Connolly
• Michael Gerard Connolly, LP
• Michelle Connolly, M.S., S.L.P.

• Acute Care Clinical Nurse Specialist in New York, NY
• Providers in New York, NY by specialty
• Acute Care Clinical Nurse Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.