Active NPI
Carolann Pearl, RN
- Registered Nurse
- Gloversville, NY
National Provider Identifier
1154752947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 350094-1
- Practice address
- 127 E State St
Gloversville, NY 12078-1204 - Phone
- (518) 773-7931
- Fax
- (518) 762-0974
- NPI assigned
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 350094-1 | NY | Primary |
Addresses
Primary practice location
127 E State St
Gloversville, NY 12078-1204
Mailing address
86 W Main St
St Johnsville, NY 13452-1029
Phone (518) 332-8331
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
| License | State | Type | Specialty |
|---|---|---|---|
| 350094-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1154752947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 W MAIN ST",
"city": "ST JOHNSVILLE",
"state": "NY",
"postal_code": "134521029",
"telephone_number": "518-332-8331",
"fax_number": "518-762-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E STATE ST",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "120781204",
"telephone_number": "518-773-7931",
"fax_number": "518-762-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARL",
"first_name": "CAROLANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "350094-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.