Elizabeth Ketcham Mercogliano, RN

Primary specialty

MidwifeTaxonomy code 176B00000X

License

F001443 Issued in NY

Practice address

20 Elm St
Albany, NY 12202-1703

Phone

(518) 465-0241

NPI assigned

May 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Betsy Ketcham Mercogliano Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1083906481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021703",
            "telephone_number": "518-465-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ELM ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021703",
            "telephone_number": "518-465-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCOGLIANO",
        "first_name": "ELIZABETH",
        "middle_name": "KETCHAM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "NY",
            "license": "3307271",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F001443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "MERCOGLIANO",
            "middle_name": "KETCHAM",
            "credential": "RN, LM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maksim Merakhovich, MD
• Kristen Mercado
• Abbas Merchant, DO
• Maria Merchant
• Rida Merchant, MD
• Mercy Meditrans Taxi
• Omar Merdan, MD
• Dominique Mereday, OTR
• Jacqueline Elaine Mereday, P.A.
• Meredith L Lyon PHD Psychology PLLC

• Midwife in Albany, NY
• Providers in Albany, NY by specialty
• Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.