Individual provider Active NPI

Annemarie Culhane, R.N.

  • Registered Nurse
  • Brewster, NY
National Provider Identifier
1003003492
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
309860 Issued in NY
Practice address
118 Enoch Crosby Rd
Brewster, NY 10509-2140
Phone
(914) 522-1202
Fax
(845) 278-1417
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 309860 NY Primary

Addresses

Primary practice location

118 Enoch Crosby Rd
Brewster, NY 10509-2140

Mailing address

118 Enoch Crosby Rd
Brewster, NY 10509-2140
Phone (914) 522-1202

Other identifiers 1

IdentifierTypeStateIssuer
01234793MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
309860NYMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1003003492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ENOCH CROSBY RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092140",
            "telephone_number": "914-522-1202",
            "fax_number": "845-278-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ENOCH CROSBY RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092140",
            "telephone_number": "914-522-1202",
            "fax_number": "845-278-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULHANE",
        "first_name": "ANNEMARIE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "309860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01234793",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.