Active NPI
Annette Therese Vallano, MS RN APRN BC
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- New York, NY
National Provider Identifier
1386796621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 170314-1
- Practice address
- 200 W 57TH St
Suite 301
New York, NY 10019-3211 - Phone
- (212) 586-6713
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 170314-1 | NY | Primary |
Addresses
Primary practice location
200 W 57TH St
Suite 301
New York, NY 10019-3211
Mailing address
200 W 57TH St
Suite 301
New York, NY 10019-3211
Phone (212) 586-6713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150916002050 | NY | Practitioner - Nurse Practitioner | 3577870005 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 W 57TH St
Suite 301
New York, NY 10019-3211
Phone (212) 586-6713
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170314-1 | NY | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386796621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 57TH ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193211",
"telephone_number": "212-586-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W 57TH ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193211",
"telephone_number": "212-586-6713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLANO",
"first_name": "ANNETTE",
"middle_name": "THERESE",
"credential": "MS RN APRN BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "170314-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.