Individual provider Active NPI

Carol D. Nightengale, F.N.P.

  • Family Nurse Practitioner
  • Afton, NY
National Provider Identifier
1215198064
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
332798 Issued in NY
Practice address
29 Academy Street
Afton School
Afton, NY 13730
Phone
(607) 639-8224
Fax
(607) 639-8257
NPI assigned
Jun 24, 2008
Last updated
Jul 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 332798 NY Primary

Addresses

Primary practice location

29 Academy Street
Afton School
Afton, NY 13730

Mailing address

29 Academy St
Afton School
Afton, NY 13730
Phone (307) 639-8224

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
332798NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chenango Memorial Hospital, Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1215198064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ACADEMY ST",
            "address_2": "AFTON SCHOOL",
            "city": "AFTON",
            "state": "NY",
            "postal_code": "13730",
            "telephone_number": "307-639-8224",
            "fax_number": "607-639-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 ACADEMY STREET",
            "address_2": "AFTON SCHOOL",
            "city": "AFTON",
            "state": "NY",
            "postal_code": "13730",
            "telephone_number": "607-639-8224",
            "fax_number": "607-639-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGHTENGALE",
        "first_name": "CAROL",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "332798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Afton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.