Active NPI
Latchmi Cipriana, RN
- Registered Nurse
- Schenectady, NY
National Provider Identifier
1245679596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 647002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03008248 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 647002 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conifer Park, Inc. | Past | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Glenville, NY
- NPI 1336339969
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Liverpool, NY
- NPI 1366498768
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.