Individual provider Active NPI

Kathryn Albanese, FNP

  • Family Nurse Practitioner
  • North Syracuse, NY
National Provider Identifier
1942615356
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338741 Issued in NY
Practice address
792 1/2 N Main St
North Syracuse, NY 13212-1670
Phone
(315) 422-2222
Fax
(315) 701-3650
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F338741 NY Primary

Addresses

Primary practice location

792 1/2 N Main St
North Syracuse, NY 13212-1670

Mailing address

PO Box 1025
Buffalo, NY 14240-1025
Phone (315) 423-9722

Other identifiers 1

IdentifierTypeStateIssuer
04038780MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190710000434 CO Practitioner - Nurse Practitioner 5991023152 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F338741NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PPM Colorado LLC CurrentSince Jun 5, 2025 Accepting new patients
Long Term Care and Rehab Consultants CurrentSince Apr 1, 2025 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127

5161 E Arapahoe Rd
Ste 320
Centennial, CO 80122
Phone (303) 730-3578

7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505

4800 Tabor St
Wheat Ridge, CO 80033
Phone (303) 421-4161

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Organizations & group practices 3

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1942615356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1025",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142401025",
            "telephone_number": "315-423-9722",
            "fax_number": "315-423-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 1/2 N MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121670",
            "telephone_number": "315-422-2222",
            "fax_number": "315-701-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANESE",
        "first_name": "KATHRYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04038780",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.