Kindred Wellness Care NP in Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KINDRED WELLNESS CARE NP IN PSYCHIATRY PLLC

Practice address

7 Stevens St
Glens Falls, NY 12801-3458

Phone

(518) 321-4970

Fax

(518) 240-4977

NPI assigned

Sep 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shannon James, NPNPI 1053898908

Title

Manager

Phone

(518) 321-4970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon James

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
  • NPI 1053898908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1871310029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 STEVENS ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013458",
            "telephone_number": "518-321-4970",
            "fax_number": "518-240-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 STEVENS ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013458",
            "telephone_number": "518-321-4970",
            "fax_number": "518-240-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED WELLNESS CARE NP IN PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "518-321-4970",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy M Ketchen, RN
• Gamal Garhy Khalifa, MD
• Kate V Kilgallon, MS OTR/L CHT
• Lori M Killon, RPA-C
• Kelly-Ann Kim, M.D.
• Brian King, MD
• Brittany King, PMHNP
• Tara Elizabeth King, R.N.
• Melody Kinsley, D.O.
• Mark T Kircher, MD

• Psychiatric/Mental Health Nurse Practitioner in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.