Parker Wells Women'S Shelter

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

Legal business name

PARKER WELLS WOMEN'S SHELTER

Practice address

434 State Street Main Floor
Schenectady, NY 12307

Phone

(220) 221-7818

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Renee Emily Etoty, MD

Title

Program Dirtector

Phone

(220) 221-7818

Specialties & licenses 1

Addresses

Other names 1

• Parker Wells Women's Shelter Doing business as

Locations

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1427897628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 STATE STREET MAIN FLOOR",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12307",
            "telephone_number": "220-221-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 STATE STREET MAIN FLOOR",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12307",
            "telephone_number": "220-221-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER WELLS WOMEN'S SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "ETOTY",
        "authorized_official_first_name": "RENEE EMILY",
        "authorized_official_title_or_position": "PROGRAM DIRTECTOR",
        "authorized_official_telephone_number": "220-221-7818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Wells Women's Shelter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Parag Dineshkant Parikh, MD
• John J Parillo, MD
• Patrick Joseph Parisi, M.D.
• Park Place Pediatrics, LLC
• Eunhae Park-Hyun
• Hailey Parker, LMSW
• Jonathan Parker
• Melissa Elizabeth Parker, LP-MHC
• Robert Joseph Parkes, M.D.
• Parkland Ambulance Service, Inc.

• Community Health Registered Nurse in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.