Individual provider Active NPI

Dewatie Krishindat, FNP-BC

  • Nurse Practitioner
  • Albany, NY
National Provider Identifier
1134964042
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F354250-01 Issued in NY
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-1550
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F354250-01 NY Primary

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

19 Brookline Dr
Clifton Park, NY 12065-1116
Phone (917) 807-5194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107001456 NY Practitioner - Nurse Practitioner 4385178763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Hudson Planned Parenthood IncGroup PAC ID 4284803743, 12 clinicians

Practice addresses (Care Compare)

855 Central Ave
Albany, NY 12206-1513
Phone (518) 434-5678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F354250-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Hospital of the City of Albany Nurse Practitioner CurrentSince Nov 24, 2025 Accepting new patients
Upper Hudson Planned Parenthood Inc. CurrentSince Sep 5, 2024 Accepting new patients
St. Peter's Hospital of the City of Albany Nurse Practitioner CurrentSince Nov 24, 2025 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

855 Central Ave
Albany, NY 12206
Phone (518) 434-5678

855 Central Ave
Ste 3
Albany, NY 12206
Phone (518) 434-5678

Interoperability endpoints

  • Direct secure messaging: dkrishindat791158@direct.trinity-health.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dewatie.krishindatnp.p6@direct.usppny.nextgenshare.com

Organizations & group practices 3

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1134964042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BROOKLINE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651116",
            "telephone_number": "917-807-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHINDAT",
        "first_name": "DEWATIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F354250-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.