Andrea Pruden

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

754152-01 Issued in NY

Practice address

201 Cantigney St
Corning, NY 14830-2018

Phone

(607) 654-2988

NPI assigned

May 23, 2022

Last updated

May 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corning City School District

  • Local Education Agency (LEA)
  • Painted Post, NY
  • NPI 1700939303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1184362931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHARLES ST",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148701100",
            "telephone_number": "607-936-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CANTIGNEY ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302018",
            "telephone_number": "607-654-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUDEN",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "754152-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Post
• Donzaleigh Priestley, PA
• Melinda Nobles Prisco, CRNA
• Dionna Pritchard, RN
• Olivia Procopio, AUD
• Jana Pulkrabek, M.D.
• Anourine Pullano, PHARMD
• Abdul Qadir, M.D.
• QC-Medi New York, Inc. (CenterWell Home Health)
• Jennifer Lynn Quealy

• Registered Nurse in Corning, NY
• Providers in Corning, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.