Active NPI
Lynne Dutkowsky, RN
- School Registered Nurse
- Vestal, NY
National Provider Identifier
1346800521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 371007-1
- Practice address
- 600 S Benita Blvd
Vestal, NY 13850-2675 - Phone
- (607) 757-2313
- Fax
- (607) 757-3725
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 371007-1 | NY | Primary |
Addresses
Primary practice location
600 S Benita Blvd
Vestal, NY 13850-2675
Mailing address
600 S Benita Blvd
Vestal, NY 13850-2675
Phone (607) 757-2313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6077857076 | Medicaid | NY |
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 |
|---|---|---|---|
| 371007-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1346800521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S BENITA BLVD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502675",
"telephone_number": "607-757-2313",
"fax_number": "607-757-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S BENITA BLVD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502675",
"telephone_number": "607-757-2313",
"fax_number": "607-757-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTKOWSKY",
"first_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-19",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "371007-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6077857076",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vestal, NY
- Dr. P. Tran's Osteopathic Touch PLLC
- Michelle Marie Drake, PMHNP
- Katarzyna Irena Dudycz-Sulicz, MD
- Lanora Jane Duell, PSY. D.
- Erin Ann Duff, FNP-C
- Jennifer Eaton, DPT
- Deborah Jayne Eckhardt, OTR/L
- Courtney L Ellis-Jamison, FNP-C
- Jessica Renee Ellis, MS, CCC-SLP
- Empire Vision Center Inc (Empire Vision Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.