Active NPI
Lee Ann Malseptic, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Plattsburgh, NY
National Provider Identifier
1437703162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 508313
- Practice address
- 80 Sharron Ave
Plattsburgh, NY 12901-4700 - Phone
- (518) 561-1447
- NPI assigned
- Jul 31, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 508313 | NY | Primary |
Addresses
Primary practice location
80 Sharron Ave
Plattsburgh, NY 12901-4700
Mailing address
76 Glenridge Rd
Glenville, NY 12302-4522
Other practice location 1
21 Old Route 6
Carmel, NY 10512-2107
Phone (845) 225-5202
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420795 | Medicaid | NY | |
| 01420800 | 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 |
|---|---|---|---|
| 508313 | NY | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arms Acres Inc | Past | Accepting new patients | |
| Arms Acres Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Carmel, NY
- NPI 1235184227
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bronx, NY
- NPI 1649474552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1437703162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 GLENRIDGE RD",
"city": "GLENVILLE",
"state": "NY",
"postal_code": "123024522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SHARRON AVE",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129014700",
"telephone_number": "518-561-1447"
}
],
"practiceLocations": [
{
"address_1": "21 Old Route 6",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "NY",
"postal_code": "105122107",
"country_code": "US",
"telephone_number": "845-225-5202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALSEPTIC",
"first_name": "LEE",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-31",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "508313",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420795",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420800",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.