Individual provider Active NPI

Amanda Marsha Albert, RN

  • Registered Nurse
  • Poughkeepsie, NY
National Provider Identifier
1083955702
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
577558 Issued in NY
Practice address
22 Virginia Ave
Poughkeepsie, NY 12601-4225
Phone
(845) 625-4654
Fax
(845) 849-0720
NPI assigned
Mar 5, 2013
Last updated
Mar 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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 577558 NY Primary

Addresses

Primary practice location

22 Virginia Ave
Poughkeepsie, NY 12601-4225

Mailing address

22 Virginia Ave
Poughkeepsie, NY 12601-4225
Phone (845) 625-4654

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
577558NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1083955702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VIRGINIA AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014225",
            "telephone_number": "845-625-4654",
            "fax_number": "845-849-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 VIRGINIA AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014225",
            "telephone_number": "845-625-4654",
            "fax_number": "845-849-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "AMANDA",
        "middle_name": "MARSHA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "577558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.