Active NPI
Kristie R Bacher, LPN
- Licensed Practical Nurse
- Webster, NY
National Provider Identifier
1114101045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 227311-1
- Practice address
- 263 Salt Rd
Webster, NY 14580-9607 - Phone
- (585) 545-4161
- NPI assigned
- Dec 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 227311-1 | NY | Primary |
Addresses
Primary practice location
263 Salt Rd
Webster, NY 14580-9607
Mailing address
263 Salt Rd
Webster, NY 14580-9607
Phone (585) 545-4161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02907880 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227311-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1114101045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 SALT RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145809607",
"telephone_number": "585-545-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 SALT RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145809607",
"telephone_number": "585-545-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHER",
"first_name": "KRISTIE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "227311-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02907880",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.