Individual provider Active NPI

Karen S Puccia, RN

  • Community Health Registered Nurse
  • Cortland, NY
National Provider Identifier
1447535315
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
178942 Issued in NY
Practice address
60 Central Avenue
Cortland, NY 13045-2746
Phone
(607) 756-3401
Fax
(607) 756-3483
NPI assigned
Oct 11, 2011
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 178942 NY Primary

Addresses

Primary practice location

60 Central Avenue
Cortland, NY 13045-2746

Mailing address

60 Central Avenue
Cortland, NY 13045-2746
Phone (607) 756-3401

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

LicenseStateTypeSpecialty
178942NYMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1447535315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CENTRAL AVENUE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452746",
            "telephone_number": "607-756-3401",
            "fax_number": "607-756-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CENTRAL AVENUE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452746",
            "telephone_number": "607-756-3401",
            "fax_number": "607-756-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCIA",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "178942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.