Individual provider Active NPI

Kathleen Loren Ranzer, LPN

  • Licensed Practical Nurse
  • Albany, NY
National Provider Identifier
1891576112
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
286664 Issued in NY
Practice address
159 Wolf Rd Ste 105
Albany, NY 12205-6008
Phone
(518) 437-0152
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 286664 NY Primary

Addresses

Primary practice location

159 Wolf Rd Ste 105
Albany, NY 12205-6008

Mailing address

653 Delaware Ave Apt C
Delmar, NY 12054-2484
Phone (518) 728-4209

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

State licenses

LicenseStateTypeSpecialty
286664NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Maxim of New York, LLC PastSince Oct 15, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1891576112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 DELAWARE AVE APT C",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542484",
            "telephone_number": "518-728-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WOLF RD STE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122056008",
            "telephone_number": "518-437-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANZER",
        "first_name": "KATHLEEN",
        "middle_name": "LOREN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "286664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.