Individual provider Active NPI

Danielle Elizabeth Andolina, RN

  • School Registered Nurse
  • Fairport, NY
National Provider Identifier
1073982930
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
500852-1 Issued in NY
Practice address
41 O'Connor Road
Fairport, NY 14450-2507
Phone
(585) 377-4660
NPI assigned
Sep 22, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 500852-1 NY Primary

Addresses

Primary practice location

41 O'Connor Road
Fairport, NY 14450-2507

Mailing address

1 Monroe St
41 O'Connor Road
Fairport, NY 14450-2507
Phone (585) 377-4660

Other identifiers 1

IdentifierTypeStateIssuer
500852-1MedicaidNY

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
500852-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1073982930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MONROE ST",
            "address_2": "41 O'CONNOR ROAD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502507",
            "telephone_number": "585-377-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 O'CONNOR ROAD",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502507",
            "telephone_number": "585-377-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOLINA",
        "first_name": "DANIELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "500852-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500852-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.