Individual provider Active NPI

Latchmi Cipriana, RN

  • Registered Nurse
  • Schenectady, NY
National Provider Identifier
1245679596
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
647002 Issued in NY
Practice address
600 Franklin St Ste 204
Schenectady, NY 12305-2100
Phone
(518) 372-7031
Fax
(518) 372-7064
NPI assigned
Jun 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 647002 NY Primary

Addresses

Primary practice location

600 Franklin St Ste 204
Schenectady, NY 12305-2100

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523
Phone (518) 952-8408

Other practice location 1

79 Glenridge Rd
Cottage #1
Glenville, NY 12302-4523
Phone (518) 952-8121

Other practice location 2

79 Glenridge Rd
Cottage #1
Glenville, NY 12302-4523
Phone (518) 952-8121

Other practice location 3

2435 6th Ave
Troy, NY 12180-2227
Phone (518) 274-5143

Other identifiers 1

IdentifierTypeStateIssuer
03008248MedicaidNY

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
647002NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Park, Inc. PastSince Dec 15, 2019 Accepting new patients
Conifer Park, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245679596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 GLENRIDGE RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024523",
            "telephone_number": "518-952-8408",
            "fax_number": "518-399-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FRANKLIN ST STE 204",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052100",
            "telephone_number": "518-372-7031",
            "fax_number": "518-372-7064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Glenridge Rd",
            "address_2": "Cottage #1",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024523",
            "country_code": "US",
            "telephone_number": "518-952-8121",
            "fax_number": "518-952-8287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Glenridge Rd",
            "address_2": "Cottage #1",
            "address_purpose": "LOCATION",
            "city": "Glenville",
            "state": "NY",
            "postal_code": "123024523",
            "country_code": "US",
            "telephone_number": "518-952-8121",
            "fax_number": "518-952-8287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2435 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802227",
            "country_code": "US",
            "telephone_number": "518-274-5143",
            "fax_number": "518-273-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIPRIANA",
        "first_name": "LATCHMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "647002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03008248",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, 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.

Verify at the official NPI Registry.