Individual provider Active NPI

Sadie Donigan

  • Neonatal Intensive Care Registered Nurse
  • Rochester, NY
National Provider Identifier
1336764612
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X
License
769234 Issued in NY
Practice address
934 Winona Blvd
Rochester, NY 14617-2956
Phone
(315) 944-8734
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WN0002X 769234 NY Primary

Addresses

Primary practice location

934 Winona Blvd
Rochester, NY 14617-2956

Mailing address

934 Winona Blvd
Rochester, NY 14617-2956
Phone (315) 944-8734

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
769234NYMDNeonatal Intensive Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1336764612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 WINONA BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146172956",
            "telephone_number": "315-944-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 WINONA BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146172956",
            "telephone_number": "315-944-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONIGAN",
        "first_name": "SADIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "769234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.