Individual provider · Type 1 NPI

Kathleen Ann Foley Root, RN ANP

Registered Nurse · Smithtown, NY

NPI number 1770640641 Active

Practice location

50 Route 25A
Smithtown, NY 11787-1348

Call (631) 862-3890 Map

Mailing address

4 Harbor Ct
Centerport, NY 11721-1105

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X389982-1 (NY)
Adult Health Nurse Practitioner 363LA2200XF301576-1 (NY)

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…

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About NPI 1770640641

Kathleen Ann Foley Root, RN ANP's National Provider Identifier is 1770640641, issued on Jan 2, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Smithtown, NY. The record was last updated on Sep 11, 2025.