Individual provider Active NPI

Kathleen M Lind, ANP

  • Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1942552831
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F306052-1 Issued in NY
Practice address
855 Route 146
Clifton Park, NY 12065-3885
Phone
(518) 525-8220
Fax
(518) 525-8219
NPI assigned
Oct 3, 2012
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F306052-1 NY Primary

Addresses

Primary practice location

855 Route 146
Clifton Park, NY 12065-3885

Mailing address

391 Myrtle Ave Ste 5
Albany, NY 12208-3797
Phone (518) 262-5640

Other practice location 1

1201 Nott St Ste 202
Schenectady, NY 12308-2589
Phone (518) 262-5640

Other practice location 2

1250 Riverfront Ctr Ste 2420
Amsterdam, NY 12010-4602
Phone (518) 262-5640

Other practice location 3

258 Hoosick St Ste 101
Troy, NY 12180-2446
Phone (518) 262-5640

Other practice location 4

7 Southwoods Blvd
Albany, NY 12211-2514
Phone (518) 262-5640

Other practice location 5

319 S Manning Blvd Ste 110B
Albany, NY 12208-1744
Phone (518) 525-8220

Other practice location 6

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220

Other practice location 7

391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412
Phone (518) 262-5640

Other identifiers 1

IdentifierTypeStateIssuer
03537464MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130227000589 NY Practitioner - Nurse Practitioner 5294980066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

855 Route 146
Clifton Park, NY 12065-3885
Phone (518) 867-0303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F306052-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health Partners Medical Associates, P.C. Nurse Practitioner CurrentSince Oct 1, 2018 Accepting new patients
The Vascular Group, PLLC Past Accepting new patients

Locations

319 S Manning Blvd
Ste 110B
Albany, NY 12208
Phone (518) 525-5037

855 Route 146
Clifton Park, NY 12065
Phone (518) 438-2776

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: klind789331@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1942552831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE STE 5",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083797",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653885",
            "telephone_number": "518-525-8220",
            "fax_number": "518-525-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Nott St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082589",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Riverfront Ctr Ste 2420",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120104602",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 Hoosick St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802446",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Southwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122112514",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 S Manning Blvd Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081744",
            "country_code": "US",
            "telephone_number": "518-525-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801764",
            "country_code": "US",
            "telephone_number": "518-525-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Myrtle Ave., Suite 5",
            "address_2": "The Vascular Group, PLLC",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIND",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F306052-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03537464",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "855 Route 146",
            "city": "Clifton Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120653885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.