Active NPI
Karen Clinton, RN
- Registered Nurse
- Stittville, NY
National Provider Identifier
1376799742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 226278-1
- Practice address
- 9114 Main St
Stittville, NY 13469 - Phone
- (315) 865-8425
- NPI assigned
- Aug 17, 2008
- Last updated
- Aug 17, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 226278-1 | NY | Primary |
Addresses
Primary practice location
9114 Main St
Stittville, NY 13469
Mailing address
PO Box 171
9114 Main St
Stittville, NY 13469-0171
Phone (315) 865-8425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02882891 | 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 |
|---|---|---|---|
| 226278-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218931200000",
"number": "1376799742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 171",
"address_2": "9114 MAIN ST",
"city": "STITTVILLE",
"state": "NY",
"postal_code": "134690171",
"telephone_number": "315-865-8425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9114 MAIN ST",
"city": "STITTVILLE",
"state": "NY",
"postal_code": "13469",
"telephone_number": "315-865-8425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINTON",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-17",
"last_updated": "2008-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "226278-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02882891",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stittville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.