Christa Dederick

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

614457 Issued in NY

Practice address

84 2ND St
Waterford, NY 12188-2417

Phone

(518) 785-5511

NPI assigned

Sep 29, 2026

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1275447286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 2ND ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882417",
            "telephone_number": "518-785-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 2ND ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882417",
            "telephone_number": "518-785-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDERICK",
        "first_name": "CHRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "614457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Carol Bushkin, M.D.
• Alexandra Lynn Connor, M.S., CCC-SLP
• Kelly Cooper, REGISTERED NURSE
• Nicole Marie Cregan, FNP
• Melissa Anne Cuoco, LCSW
• Barbara Jude Delaney, R.N.
• Josey Alaine Evanovich, LCSW
• Edward P Franks, MD
• Julianne Jeanne Furlong, LMSW
• Brandy Gagliardi, R.N.

• School Registered Nurse in Waterford, NY
• Providers in Waterford, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.