Holly M Vacca, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

465829 Issued in NY

Practice address

1121 Forest Rd
Schenectady, NY 12303-1219

Phone

(518) 881-3902

NPI assigned

Oct 7, 2011

Last updated

Oct 7, 2011By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1316221443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 NOTT ST E",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123094383",
            "telephone_number": "518-374-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 FOREST RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123031219",
            "telephone_number": "518-881-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCA",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "465829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01406986",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upstate Hematology Oncology
• Upstate Occupational Therapy Services PLLC (natasha Leslie)
• Upstate Plastic Surgery P.C.
• Upstate Podiatry Services
• Utech Products Inc.
• William M Vacca, M.D.
• Cary Vachon, DO
• Francois Marc Andre Vachon, D.O.
• Nicholas Vadney, PHARMD
• Arthur R Vakiener III, M.D.

• Registered Nurse in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.