Carrie A Drake, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

665143 Issued in NY

Practice address

17 Hays Ave
Kirkwood, NY 13795-1418

Phone

(607) 761-7111

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1235740770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MAIN ST",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "188347423",
            "telephone_number": "610-451-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HAYS AVE",
            "city": "KIRKWOOD",
            "state": "NY",
            "postal_code": "137951418",
            "telephone_number": "607-761-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "665143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Christophersen
• Stacy Colwell
• Megan Julie Davis, OTR/L
• Ashley Noel Dimmick, MSED
• Cindy Dintrono Fitch
• Jennifer Joan Ewanow, M.S., CCC-SLP
• Abigail Finch
• Elizabeth Carnevale Finch, PT
• Firm Foundation Counseling LLC
• Heather Fleming

• Registered Nurse in Kirkwood, NY
• Providers in Kirkwood, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.