Active NPI
Brenda Riesel
- Nursing Care Agency
- Marcy, NY
National Provider Identifier
1114485752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 249344-1
- Practice address
- 6050 Cavanaugh Rd
Marcy, NY 13403-2411 - Phone
- (315) 534-0730
- NPI assigned
- Mar 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249344-1 | NY | MD | Nursing Care Agency |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 249344-1 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6050 Cavanaugh Rd
Marcy, NY 13403-2411
Mailing address
315 Lansing St
Herkimer, NY 13350-1228
Phone (315) 868-9760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2019.
{
"created_epoch": "1551484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551484800000",
"number": "1114485752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 LANSING ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501228",
"telephone_number": "315-868-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 CAVANAUGH RD",
"city": "MARCY",
"state": "NY",
"postal_code": "134032411",
"telephone_number": "315-534-0730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESEL",
"first_name": "BRENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-02",
"last_updated": "2019-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NY",
"license": "249344-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marcy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.