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

Kathy Ellarene Novella Proctor, MS, BSN, RN-CCM

Individual provider Case Management Registered Nurse · NPI 1962121251

Kathy Ellarene Novella Proctor, MS, BSN, RN-CCM is a Case Management Registered Nurse in Dumont, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2022
Specialties on file
4
What do these letters mean?
MS — Master of Science
A graduate science degree.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

See every abbreviation used in this directory →

Practice location Address checks out

182 E Linden Ave
Dumont, NJ 07628-1916
Phone: (646) 401-3115
Fax: (201) 330-4645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 26NR22095100 (NJ)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 543566 (NY)
Nutrition Education Nutritionist Taxonomy 133NN1002X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1962121251
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , BSN , RN-CCM
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026