Individual provider Active NPI

Betsy Rose Brasington, LPN

  • Licensed Practical Nurse
  • Poughkeepsie, NY
National Provider Identifier
1265615793
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
290649-1 Issued in NY
Practice address
9 Seitz Ter
Poughkeepsie, NY 12603-1617
Phone
(845) 471-6714
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 290649-1 NY Primary

Addresses

Primary practice location

9 Seitz Ter
Poughkeepsie, NY 12603-1617

Mailing address

9 Seitz Ter
Poughkeepsie, NY 12603-1617
Phone (845) 471-6714

Other names 1

  • Ms. Betsy Rose Ciulla 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

State licenses

LicenseStateTypeSpecialty
290649-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1265615793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SEITZ TER",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031617",
            "telephone_number": "845-471-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SEITZ TER",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031617",
            "telephone_number": "845-471-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASINGTON",
        "first_name": "BETSY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290649-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "CIULLA",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.