Individual provider Active NPI

Christina Chetoora, RN

  • Registered Nurse
  • Schenectady, NY
National Provider Identifier
1013494053
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
662162 Issued in NY
Practice address
1438 State St
Schenectady, NY 12304-2823
Phone
(518) 444-7400
Fax
(518) 982-1561
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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 662162 NY Primary

Addresses

Primary practice location

1438 State St
Schenectady, NY 12304-2823

Mailing address

164 Pruyn Hill Rd
Mechanicville, NY 12118-3526
Phone (518) 986-6465

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
662162NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
America Homecare Agency Services Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1013494053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 PRUYN HILL RD",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183526",
            "telephone_number": "518-986-6465",
            "fax_number": "518-982-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123042823",
            "telephone_number": "518-444-7400",
            "fax_number": "518-982-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHETOORA",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "662162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.