Individual provider Active NPI

Darlene Diane St.Amour, MSED

  • Case Manager/Care Coordinator
  • Indian Lake, NY
National Provider Identifier
1245593060
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
139 White Birch Lane
Indian Lake, NY 12842-0250
Phone
(518) 648-6497
Fax
(518) 648-6143
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

139 White Birch Lane
Indian Lake, NY 12842-0250

Mailing address

139 White Birch Lane
PO Box 250
Indian Lake, NY 12842-0250
Phone (518) 648-6497

Other names 1

  • Miss Darlene Diane Brann Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1245593060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 WHITE BIRCH LANE",
            "address_2": "PO BOX 250",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "128420250",
            "telephone_number": "518-648-6497",
            "fax_number": "518-648-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WHITE BIRCH LANE",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "128420250",
            "telephone_number": "518-648-6497",
            "fax_number": "518-648-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.AMOUR",
        "first_name": "DARLENE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "BRANN",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indian Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.