Active NPI
Kara Filardi McGovern, RN, CDE
- Nutrition Education Nutritionist
- Albany, NY
National Provider Identifier
1215283254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 542612
- Practice address
- 63 Shaker Rd Ste 201
Albany, NY 12204-1030 - Phone
- (518) 471-3636
- NPI assigned
- Jul 27, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 542612-1 | NY | |
| Nutrition Education Nutritionist | 133NN1002X | 542612 | NY | Primary |
Addresses
Primary practice location
63 Shaker Rd Ste 201
Albany, NY 12204-1030
Mailing address
PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634
Other practice location 1
720 Hoosick Rd
Brunswick Plaza
Troy, NY 12180-6673
Phone (518) 471-3636
Other practice location 2
25 Hackett Blvd
Third Floor
Albany, NY 12208-3462
Phone (518) 262-5185
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 542612-1 | NY | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1215283254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890",
"telephone_number": "518-525-5634",
"fax_number": "518-649-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 SHAKER RD STE 201",
"city": "ALBANY",
"state": "NY",
"postal_code": "122041030",
"telephone_number": "518-471-3636"
}
],
"practiceLocations": [
{
"address_1": "720 Hoosick Rd",
"address_2": "Brunswick Plaza",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121806673",
"country_code": "US",
"telephone_number": "518-471-3636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Hackett Blvd",
"address_2": "Third Floor",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083462",
"country_code": "US",
"telephone_number": "518-262-5185",
"fax_number": "518-262-6303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILARDI MCGOVERN",
"first_name": "KARA",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "542612-1",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "542612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.