Active NPI
Darlene Diane St.Amour, MSED
- Case Manager/Care Coordinator
- Indian Lake, NY
National Provider Identifier
1245593060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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 |
|---|---|---|---|---|
| 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
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.