Individual provider Active NPI

Alexis Barretta, R.N.

  • School Registered Nurse
  • Stittville, NY
National Provider Identifier
1255882809
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
702721-1 Issued in NY
Practice address
8900 State Route 365
Stittville, NY 13469
Phone
(315) 865-7266
Fax
(315) 865-7284
NPI assigned
Oct 19, 2016
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 702721-1 NY Primary

Addresses

Primary practice location

8900 State Route 365
Stittville, NY 13469

Mailing address

9601 Main St
Holland Patent, NY 13354-4618
Phone (315) 865-7266

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
702721-1NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Patent Central School District Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1255882809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 MAIN ST",
            "city": "HOLLAND PATENT",
            "state": "NY",
            "postal_code": "133544618",
            "telephone_number": "315-865-7266",
            "fax_number": "315-865-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 STATE ROUTE 365",
            "city": "STITTVILLE",
            "state": "NY",
            "postal_code": "13469",
            "telephone_number": "315-865-7266",
            "fax_number": "315-865-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTA",
        "first_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "702721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stittville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.