Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Dibiase, BSN, RN, CNOR, RNFA

Individual provider Adult Health Nurse Practitioner · NPI 1174062814

Kathleen Dibiase, BSN, RN, CNOR, RNFA is a Nurse Practitioner in New York, New York. Qualified in 2018, 8 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2017
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1176 5th Ave
New York, NY 10029-6503
Phone: (212) 241-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F308669 (NY)

Record details

NPI number1174062814
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN , RN , CNOR , RNFA
Sole proprietorYes
NPI enumeratedFebruary 14, 2017
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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