Active NPI
Kenton R Fehlner, RN
- Registered Nurse
- Utica, NY
National Provider Identifier
1871608331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2700921
- Practice address
- 1500 Genesee Street
Utica, NY 13502 - Phone
- (315) 735-9501
- Fax
- (315) 735-9769
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2700921 | NY | Primary |
Addresses
Primary practice location
1500 Genesee Street
Utica, NY 13502
Mailing address
1145 Brinckerhoff Avenue
Utica, NY 13501
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2700921 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871608331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BRINCKERHOFF AVENUE",
"city": "UTICA",
"state": "NY",
"postal_code": "13501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 GENESEE STREET",
"city": "UTICA",
"state": "NY",
"postal_code": "13502",
"telephone_number": "315-735-9501",
"fax_number": "315-735-9769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEHLNER",
"first_name": "KENTON",
"middle_name": "R",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "2700921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.