Active NPI
Grace L Pinckney, RN
- Registered Nurse
- Mt Kisco, NY
National Provider Identifier
1104039684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2940631
- Practice address
- 23 Lawrence St
Mt Kisco, NY 10549 - Phone
- (914) 864-2399
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2940631 | NY | Primary |
Addresses
Primary practice location
23 Lawrence St
Mt Kisco, NY 10549
Mailing address
1810 Bruckner Blvd
Apt 14D
Bronx, NY 10473
Phone (718) 617-3067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DT92272K | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2940631 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104039684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 BRUCKNER BLVD",
"address_2": "APT 14D",
"city": "BRONX",
"state": "NY",
"postal_code": "10473",
"telephone_number": "718-617-3067",
"fax_number": "718-617-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 LAWRENCE ST",
"city": "MT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-864-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCKNEY",
"first_name": "GRACE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "2940631",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DT92272K",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.