- Practice location
- 3648 Dewey Ave, Rochester, NY 14616-3024
- Phone
- 585-736-3503
- Fax
- —
- Last updated
- October 30, 2023
Katelyn Anne Tivey is an Emergency Medicine based in Rochester, NY. Katelyn Anne Tivey practices in Rochester, NY and has the professional credentials of PA-C. The NPI Number for Katelyn Anne Tivey is 1316464621 and holds a License No. PA6241 (MA). The current practice location address for Katelyn Anne Tivey is 3648 Dewey Ave, Rochester, NY 14616-3024 and can be reached out via phone at 585-736-3503.
Provider Profile Details
- NPI Number
- 1316464621
- Provider Name
- Katelyn Anne Tivey
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3648 Dewey Ave, Rochester, NY 14616-3024
- Phone Number
- 585-736-3503
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 28, 2017
- Last Update Date
- October 30, 2023
- Certification Date
- October 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3648 Dewey Ave
Rochester, NY 14616-3024 - City
- Rochester
- State
- New York
- Zip
- 14616-3024
- Phone Number
- 585-736-3503
Provider Business Mailing Address Details
- Address
- 3648 Dewey Ave
Rochester, NY 14616-3024 - City
- Rochester
- State
- NY
- Zip
- 14616-3024
- Phone Number
- 585-736-3503
License Information
- License Number
- PA6241
- License State
- MA
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Katelyn A Tivey, PA-C?
The NPI number of Katelyn A Tivey, PA-C is 1316464621. It was assigned on August 28, 2017 and is currently active in the NPPES registry.
What is the specialty of Katelyn A Tivey, PA-C?
Katelyn A Tivey, PA-C is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number PA6241.
Where does Katelyn A Tivey, PA-C practice?
The practice location is 3648 Dewey Ave, Rochester, NY 14616-3024. The office can be reached at 585-736-3503 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316464621 directly on the NPPES registry website.