Theresa Lynn Kotin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4879201 Issued in NY

Practice address

165 Bonnie Brae Ave
Rochester, NY 14618-2105

Phone

(585) 271-2888

NPI assigned

Feb 7, 2007

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

Other identifiers 1

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932249166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PASSING CREEK DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809302",
            "telephone_number": "585-217-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BONNIE BRAE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182105",
            "telephone_number": "585-271-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTIN",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "4879201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01916238",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuriy Kostinski
• Kamal Kothari, MD
• Shivangi Truptesh Kothari, MBBS
• Tarun Kothari, MD
• Truptesh Kothari, MD
• David Kotok, M.D.
• Elli Anna Kotsailidi, DDS
• Pavan Kottamasu, MD, MBA
• Robert M Kottmann, M.D.
• Carli Ann Kotula, PA

• Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Registered Nurse in New York

• 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.

Verify at the official NPI Registry.