Active NPI
David Bataille, LPN
- Licensed Practical Nurse
- Liverpool, NY
National Provider Identifier
1184155111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 275835
- Practice address
- 526 Old Liverpool Rd
Liverpool, NY 13088-6238 - Phone
- (315) 453-3911
- Fax
- (315) 453-0197
- NPI assigned
- Mar 22, 2017
- Last updated
- Sep 21, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 275835 | NY | Primary |
Addresses
Primary practice location
526 Old Liverpool Rd
Liverpool, NY 13088-6238
Mailing address
123 Bruno Rd
Canastota, NY 13032-1103
Other practice location 1
21 Old Route 6
Carmel, NY 10512-2107
Phone (845) 225-5202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275835 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arms Acres Inc | Past | Accepting new patients | |
| Conifer Park, Inc. | Past | Accepting new patients | |
| Conifer Park, Inc. | Past | Accepting new patients | |
| Arms Acres Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Carmel, NY
- NPI 1235184227
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bronx, NY
- NPI 1649474552
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Glenville, NY
- NPI 1336339969
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Liverpool, NY
- NPI 1366498768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1184155111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 BRUNO RD",
"city": "CANASTOTA",
"state": "NY",
"postal_code": "130321103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 OLD LIVERPOOL RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130886238",
"telephone_number": "315-453-3911",
"fax_number": "315-453-0197"
}
],
"practiceLocations": [
{
"address_1": "21 Old Route 6",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "NY",
"postal_code": "105122107",
"country_code": "US",
"telephone_number": "845-225-5202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATAILLE",
"first_name": "DAVID",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "275835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.