Individual provider Active NPI

Carolyn Anita Calderaro, RN

  • Registered Nurse
  • Saranac, NY
National Provider Identifier
1063786366
Registry record updated Mar 5, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jan 19, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
543400 Issued in NY
Practice address
300 Chazy Lake Rd
Saranac, NY 12981-3232
Phone
(518) 293-1283
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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 543400 NY Primary

Addresses

Primary practice location

300 Chazy Lake Rd
Saranac, NY 12981-3232

Mailing address

489 Stetson Rd
Chazy, NY 12921-2253
Phone (518) 846-3466

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
543400NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1063786366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 STETSON RD",
            "city": "CHAZY",
            "state": "NY",
            "postal_code": "129212253",
            "telephone_number": "518-846-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHAZY LAKE RD",
            "city": "SARANAC",
            "state": "NY",
            "postal_code": "129813232",
            "telephone_number": "518-293-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERARO",
        "first_name": "CAROLYN",
        "middle_name": "ANITA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "543400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saranac, NY

Sources for this page

Verify at the official NPI Registry.