Active NPI
Carmen L Region, LPN
- Licensed Practical Nurse
- Staatsburg, NY
National Provider Identifier
1003046327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 10 217985
- Practice address
- 23 Fiddlers Bridge Rd
Staatsburg, NY 12580-5727 - Phone
- (845) 889-8223
- NPI assigned
- Jul 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 10 217985 | NY | Primary |
Addresses
Primary practice location
23 Fiddlers Bridge Rd
Staatsburg, NY 12580-5727
Mailing address
23 Fiddlers Bridge Rd
Staatsburg, NY 12580-5727
Phone (845) 889-8223
Other names 1
- Miss Carmen L Hanaburgh
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10 217985 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1003046327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 FIDDLERS BRIDGE RD",
"city": "STAATSBURG",
"state": "NY",
"postal_code": "125805727",
"telephone_number": "845-889-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 FIDDLERS BRIDGE RD",
"city": "STAATSBURG",
"state": "NY",
"postal_code": "125805727",
"telephone_number": "845-889-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGION",
"first_name": "CARMEN",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-21",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "10 217985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARMEN",
"last_name": "HANABURGH",
"middle_name": "L",
"prefix": "MISS",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Staatsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.