Individual provider Active NPI

Kierstin Egge, MFA

  • Social Worker
  • Elizabethtown, NY
National Provider Identifier
1437498680
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7513 Court Street
Elizabethtown, NY 12932-0008
Phone
(518) 873-3670
Fax
(518) 873-3777
NPI assigned
Feb 7, 2013
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

7513 Court Street
Elizabethtown, NY 12932-0008

Mailing address

PO Box 8
7513 Court Street
Elizabethtown, NY 12932-0008
Phone (518) 873-3670

Other identifiers 1

IdentifierTypeStateIssuer
02996789MedicaidNY

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
Master of Fine Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Essex County Treasurer 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1437498680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "address_2": "7513 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320008",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7513 COURT STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320008",
            "telephone_number": "518-873-3670",
            "fax_number": "518-873-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGE",
        "first_name": "KIERSTIN",
        "credential": "MFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02996789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.