Individual provider Active NPI

Doreen Jean Cua-Bertrand, R.N.

  • School Registered Nurse
  • Syracuse, NY
National Provider Identifier
1114204427
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
394730 Issued in NY
Practice address
725 Harrison St
Syracuse, NY 13210-2395
Phone
(315) 435-4145
Fax
(315) 435-4859
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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 394730 NY Primary

Addresses

Primary practice location

725 Harrison St
Syracuse, NY 13210-2395

Mailing address

725 Harrison St
Syracuse, NY 13210-2395
Phone (315) 435-4145

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
394730NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse City School District Past Accepting new patients
Syracuse City School District Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1114204427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102395",
            "telephone_number": "315-435-4145",
            "fax_number": "315-435-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 HARRISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102395",
            "telephone_number": "315-435-4145",
            "fax_number": "315-435-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUA-BERTRAND",
        "first_name": "DOREEN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "394730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.