Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972691707 Individual Practitioner Female Practitioner

Kathleen Ann Devarso , CPNP

Nurse Practitioner - Pediatrics • Freeport, NY

Professional Overview & Biography Verified Profile Summary

Kathleen Devarso, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Freeport, NY. Practice services are available at 55 N OCEAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 N Ocean Ave

Freeport, NY 115203035

Telephone 5163791535
Fax 5162234962
Associated Practice Facility / Clinic
🏢 South Nassau Pediatrics,llp Facility NPI 1356439145

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Freeport, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Freeport, NY (1823 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License NY F381099

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Suanne Kowal-Connelly , MD

Pediatrics - Adolescent Medicine

NPI 1427146042

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 55 N OCEAN AVE, FREEPORT, NY 115203035 (Tel: 5163791535)

📍
Updated Business Mailing Address July 08, 2007

Registered at 55 N OCEAN AVE, FREEPORT, NY 115203035 (Tel: 5163791535)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHLEEN DEVARSO, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #F381099 in NY)

🟢
Initial NPI Registration & Enumeration October 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972691707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

55 N Ocean Ave

Freeport, NY 115203035

Phone: 5163791535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.