Individual provider Active NPI

Diane B Braden, N.P.

  • Family Nurse Practitioner
  • Catskill, NY
National Provider Identifier
1215973235
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331841 Issued in NY
Practice address
146 Jefferson HTS
Catskill, NY 12414-1215
Phone
(518) 943-3415
Fax
(518) 943-0938
NPI assigned
Jun 20, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 F331841 NY Primary

Addresses

Primary practice location

146 Jefferson HTS
Catskill, NY 12414-1215

Mailing address

PO Box 2000
Hudson, NY 12534-2000
Phone (518) 828-8363

Other identifiers 1

IdentifierTypeStateIssuer
02210819MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506001782 NY Practitioner - Nurse Practitioner 7113916040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

159 Jefferson HTS
Catskill, NY 12414-1237
Phone (518) 828-7601

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F331841NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Nov 19, 1993 Accepting new patients
Columbia Memorial Hospital Current Accepting new patients
Columbia Memorial Hospital CurrentSince Nov 19, 1993 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

146 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-3415

159 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-0212

159 Jefferson Hts
Ste D107
Catskill, NY 12414
Phone (518) 822-0746

45 5 Mile Woods Rd
Catskill, NY 12414
Phone (518) 234-9450

345 State Route 296
Hensonville, NY 12439
Phone (518) 734-3260

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

71 Prospect Ave
Ste 110
Hudson, NY 12534
Phone (518) 828-1400

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: dbraden97131@albanymed.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1215973235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342000",
            "telephone_number": "518-828-8363",
            "fax_number": "518-697-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141215",
            "telephone_number": "518-943-3415",
            "fax_number": "518-943-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "DIANE",
        "middle_name": "B",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02210819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.