Individual provider Active NPI

Brenda Riesel

  • Nursing Care Agency
  • Marcy, NY
National Provider Identifier
1114485752
Registry record updated Mar 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
249344-1 Issued in NY
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

LicenseStateTypeSpecialty
249344-1NYMDNursing Care Agency

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 249344-1 NY Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.