Individual provider Active NPI

Renee Striano

  • Licensed Practical Nurse
  • Port Ewen, NY
National Provider Identifier
1073050381
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
273086-1 Issued in NY
Practice address
192 Tilden St
Port Ewen, NY 12466-7757
Phone
(845) 662-7070
NPI assigned
Jan 24, 2017
Last updated
Jan 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 273086-1 NY Primary

Addresses

Primary practice location

192 Tilden St
Port Ewen, NY 12466-7757

Mailing address

192 Tilden St
Port Ewen, NY 12466-7757
Phone (845) 662-7070

Other names 1

  • Renee Walsh Former name

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

LicenseStateTypeSpecialty
273086-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1073050381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 TILDEN ST",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124667757",
            "telephone_number": "845-662-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TILDEN ST",
            "city": "PORT EWEN",
            "state": "NY",
            "postal_code": "124667757",
            "telephone_number": "845-662-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIANO",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "273086-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "WALSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Ewen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.