Individual provider Active NPI

Revekah Balmatero Belgira, RN

  • Registered Nurse
  • Greenport, NY
National Provider Identifier
1215213525
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
609020 Issued in NY
Practice address
203 South St
Greenport, NY 11944-1620
Phone
(631) 353-5112
NPI assigned
Nov 1, 2011
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 609020 NY Primary
Registered Nurse 163W00000X 185453 CO
Registered Nurse 163W00000X R181578 MD
Registered Nurse 163W00000X 717892 CA

Addresses

Primary practice location

203 South St
Greenport, NY 11944-1620

Mailing address

203 South St
Greenport, NY 11944-1620
Phone (631) 353-5112

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

LicenseStateTypeSpecialty
717892CAMDRegistered Nurse
185453COMDRegistered Nurse
R181578MDMDRegistered Nurse
609020NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1215213525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SOUTH ST",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441620",
            "telephone_number": "631-353-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SOUTH ST",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119441620",
            "telephone_number": "631-353-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELGIRA",
        "first_name": "REVEKAH",
        "middle_name": "BALMATERO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "609020",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "185453",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R181578",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "717892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.