Angela N Degraw, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

580760-1 Issued in NY

Practice address

239 Cayuga St
Union Springs, NY 13160-3107

Phone

(315) 889-4128

Fax

(315) 889-4133

NPI assigned

Dec 16, 2011

Last updated

Dec 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Union Springs Central School District

  • Local Education Agency (LEA)
  • Union Springs, NY
  • NPI 1194875476
  NPD (past)

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1457620767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 CAYUGA ST",
            "city": "UNION SPRINGS",
            "state": "NY",
            "postal_code": "131603107",
            "telephone_number": "315-889-4128",
            "fax_number": "315-889-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CAYUGA ST",
            "city": "UNION SPRINGS",
            "state": "NY",
            "postal_code": "131603107",
            "telephone_number": "315-889-4128",
            "fax_number": "315-889-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAW",
        "first_name": "ANGELA",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "580760-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Auburn Medical Transport Company, Inc.
• Kathryn Lucille Blowers, RN
• Jennifer Lynn Brooks
• Eric C Dumond, DDS
• Jessica Farkas, OTR/L
• Mark Andrew Johnson
• Kathryn Kelly, LPN
• Michelle Massarini, Licensed Mental Health Counselor

• School Registered Nurse in Union Springs, NY
• Providers in Union Springs, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.