Kathryn McAvan, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

721294 Issued in NY

Practice address

143 Winding Way
Camillus, NY 13031-1433

Phone

(315) 256-4983

NPI assigned

Apr 10, 2025

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1912792946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WINDING WAY",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311433",
            "telephone_number": "315-256-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 WINDING WAY",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311433",
            "telephone_number": "315-256-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAVAN",
        "first_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "721294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Patrick Massaro
• Stephanie Ann Masterman, OPT
• Heather Mauro
• Ashley Marie Maxam
• Maxim
• Abigail McCarthy, PA
• Melissa Marie McEnaney, R.N.
• Jaclyn Marie McGee, MS, CCC-SLP
• Benjamin Robert McHone, M.D.
• Alicia McInerney, NP

• Home Health Registered Nurse in Camillus, NY
• Providers in Camillus, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.