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Tayler R Kinney, NP

Nurse Practitioner, Family in Rochester, NY. Individual provider (NPI-1).

NPI number1124688908
StatusActive
Last updated in NPPESNov 22, 2023

Details

NPI
1124688908
Entity type
Individual (NPI-1)
Name
Tayler R Kinney
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 14, 2019
Certification date
Nov 22, 2023
Last updated
Nov 22, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family343686NYYes

Practice location

601 Elmwood Ave
Rochester, NY 14642-2604

Phone 585-275-3022 · Fax 585-922-5761

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Phone 585-922-1900 · Fax 585-922-1002

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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