Individual provider Active NPI

Karen Wajda, RNBSN

  • Registered Nurse
  • Albany, NY
National Provider Identifier
1376812743
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
307008-1 Issued in NY
Practice address
102 Loralee Dr
Albany, NY 12205-2223
Phone
(518) 869-3576
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 307008-1 NY Primary

Addresses

Primary practice location

102 Loralee Dr
Albany, NY 12205-2223

Mailing address

102 Loralee Dr
Albany, NY 12205-2223
Phone (518) 869-3576

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
307008-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Colonie Central Schools Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1376812743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LORALEE DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052223",
            "telephone_number": "518-869-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LORALEE DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052223",
            "telephone_number": "518-869-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJDA",
        "first_name": "KAREN",
        "name_prefix": "Mrs.",
        "credential": "RNBSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "307008-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.