Kelly Anne Cirigliano, RN

Key facts

NPI

1194095802

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

602994 (NY)

Practice address

18 Juliand Street
Bainbridge-Guilford Central School District
Bainbridge, NY 13733-1097

Phone

(607) 967-6313

Fax

(607) 967-4231

NPI assigned

Jan 11, 2012

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Bainbridge-Guilford Central School Local Education Agency (LEA) · Bainbridge, NY · NPI 1669539995
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2012.

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1194095802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 JULIAND",
            "address_2": "BAINBRIDGE-GUILFORD CENTRAL SCHOOL DISTRICT",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137331097",
            "telephone_number": "607-967-6313",
            "fax_number": "607-967-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 JULIAND STREET",
            "address_2": "BAINBRIDGE-GUILFORD CENTRAL SCHOOL DISTRICT",
            "city": "BAINBRIDGE",
            "state": "NY",
            "postal_code": "137331097",
            "telephone_number": "607-967-6313",
            "fax_number": "607-967-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRIGLIANO",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "602994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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