Organization Active NPI

Tompkins County Health Department

  • Local Education Agency (LEA)
  • Ithaca, NY
National Provider Identifier
1053435115
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
TOMPKINS COUNTY HEALTH DEPARTMENT
Practice address
55 Brown Rd
Ithaca, NY 14850-1247
Phone
(607) 274-6641
Fax
(607) 274-6648
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Ms. Brenda Grinnell Crosby
Title
Public Health Administrator
Phone
(607) 274-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

55 Brown Rd
Ithaca, NY 14850-1247

Mailing address

401 Dates Dr
Ithaca, NY 14850-1344
Phone (607) 274-6641

Other identifiers 1

IdentifierTypeStateIssuer
00356258MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Tompkins County Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1053435115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DATES DR",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501344",
            "telephone_number": "607-274-6641",
            "fax_number": "607-274-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BROWN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501247",
            "telephone_number": "607-274-6641",
            "fax_number": "607-274-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMPKINS COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "GRINNELL CROSBY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PUBLIC HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "607-274-6677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356258",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.