Active NPI
Lauralyn Puccio Kulpa, RN
- School Registered Nurse
- Menands, NY
National Provider Identifier
1346510120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 490909
- Practice address
- 19 Wards LN
Menands, NY 12204-2172 - Phone
- (518) 465-4561
- Fax
- (518) 434-2840
- NPI assigned
- Jan 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 490909 | NY | Primary |
Addresses
Primary practice location
19 Wards LN
Menands, NY 12204-2172
Mailing address
1517 Van Hoesen Rd
Castleton, NY 12033-9694
Phone (518) 732-0836
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
| License | State | Type | Specialty |
|---|---|---|---|
| 490909 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1346510120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 VAN HOESEN RD",
"city": "CASTLETON",
"state": "NY",
"postal_code": "120339694",
"telephone_number": "518-732-0836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WARDS LN",
"city": "MENANDS",
"state": "NY",
"postal_code": "122042172",
"telephone_number": "518-465-4561",
"fax_number": "518-434-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULPA",
"first_name": "LAURALYN",
"middle_name": "PUCCIO",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "490909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menands, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.