Kathryn L Valencia, CASAC 23867

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10 277554 Issued in NY

Practice address

116 Radio Circle Dr
Suite 309
Mount Kisco, NY 10549-2616

Phone

(914) 666-0191

Fax

(914) 666-9107

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Kathryn L Valencia Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lexington Center for Recovery, Inc.

  • Methadone Clinic
  • Peekskill, NY
  • NPI 1487709671
  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1932570090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 INLAND CT",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105126441",
            "telephone_number": "914-666-0191",
            "fax_number": "914-666-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 RADIO CIRCLE DR",
            "address_2": "SUITE 309",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492616",
            "telephone_number": "914-666-0191",
            "fax_number": "914-666-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "CASAC 23867",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "23867",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 277554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00729997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "VALENCIA",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "LPN 10 277554",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James J Turro, MD
• Glad Effy Uko-Ima
• Urogynecology and Pelvic Surgery, PLLC
• Boris Usherenko, MD
• Jerome Vaccaro, M.D.
• Valley Care Orthotics
• David Valvano
• Anura Vani, FNP
• Benjamin Vanroy, LCSW
• Donna Varamo, RDN, CDN

• Licensed Practical Nurse in Mount Kisco, NY
• Providers in Mount Kisco, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; 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.