KATHY A WILLENBORG (NPI# 1760770085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760770085 |
| Entity Type | Individual |
| Full Name | KATHY A WILLENBORG |
| Credential | RN |
| Practice Address |
218 Stone St Fl 2 Community Clinic of Jefferson County Watertown NY 13601-3211 |
| Mailing Address |
Po Box 3 Castorland NY 13620-0003 |
| Practice Telephone | 3157827445 |
| Practice Fax Number | 3157791184 |
| Mailing Telephone | 2176901813 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 638621 | NY | Nursing Service Providers |
| Street Address |
218 STONE ST FL 2 COMMUNITY CLINIC OF JEFFERSON COUNTY |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346322450 | Jane M Prendergast | Nurse Practitioner | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2006-10-19 |
| 1700162732 | Rebecca M Sands | Social Worker | 218 Stone St Fl 2, Watertown, NY 13601-3211 | 2011-10-21 |
| 1972884591 | Rosamond I Mcavoy | Social Worker | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2011-09-09 |
| 1376824912 | Nicole L Pierce | Social Worker | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2011-09-08 |
| 1285922591 | Sarah V Warner | Art Therapist | 218 Stone St Fl 2, Community Clinic of Jefferson County, Watertown, NY 13601-3211 | 2011-07-20 |
| 1710206008 | Elizabeth A Parris | Social Worker | 218 Stone St Fl 2, Watertown, NY 13601-3211 | 2010-05-26 |
| 1073632485 | Christina M Oneil | Social Worker | 218 Stone St Fl 2, Watertown, NY 13601-3211 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560907 | Elizabeth Cilia | Registered Nurse | 204 Arsenal St Apt 491, Watertown, MA 02472-3092 | 2020-05-18 |
| 1780224436 | Katherine Julia Spence Rawls | Registered Nurse | 11 Adams St Apt 1, Watertown, MA 02472-4171 | 2020-01-10 |
| 1326607490 | Jillian Young Marra | Registered Nurse | 53-59 Public Sq Ste 301, Watertown, NY 13601-2674 | 2019-06-11 |
| 1235600628 | Melanie Terese Heese | Registered Nurse | 1104 Center St, Watertown, WI 53098-2029 | 2018-12-10 |
| 1326552621 | Krissy Fellie | Registered Nurse | 702 W Green St, Watertown, WI 53098-2508 | 2017-11-22 |
| 1811418767 | Kristin Zehren | Registered Nurse | W5714 West Rd, Watertown, WI 53094-9203 | 2017-06-30 |
| 1871035584 | Daniel Kerr | Registered Nurse | N6410 Lake Dorothy Ln, Watertown, WI 53094-9490 | 2016-11-11 |
| 1073063954 | Rosa Deanna Perez Valenzuela | Registered Nurse | 417 Theresa St, Watertown, WI 53094-6737 | 2016-10-04 |
| 1629442637 | Hailey Trimborn | Registered Nurse | N8965 Willow Rd, Watertown, WI 53094-9143 | 2015-11-15 |
| 1457728446 | Erin Miller | Registered Nurse | W3356 Beryl Dr, Watertown, WI 53094-9469 | 2015-08-26 |
| Find all providers in WATERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.