Active NPI
Christa Conlin
- Durable Medical Equipment & Medical Supplies
- Poughkeepsie, NY
National Provider Identifier
1477578334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 45 Reade PL
Poughkeepsie, NY 12601-3947 - Phone
- (845) 336-5402
- Fax
- (845) 336-5696
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
45 Reade PL
Poughkeepsie, NY 12601-3947
Mailing address
PO Box 578
Hurley, NY 12443-0578
Phone (845) 336-5402
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 319307 | Other | NY | MVP HEALTH PLAN |
| G65882 | Other | NY | EMPIRE BCBS |
| 01559475 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477578334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 578",
"city": "HURLEY",
"state": "NY",
"postal_code": "124430578",
"telephone_number": "845-336-5402",
"fax_number": "845-336-5696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 READE PL",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013947",
"telephone_number": "845-336-5402",
"fax_number": "845-336-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLIN",
"first_name": "CHRISTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH PLAN",
"identifier": "319307",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "G65882",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01559475",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
- Alexandria Conger, LPN
- Jennifer Conklin, OTR/L
- Marialice Conklin, LPN
- Kelli Mayfarth Conlan, M.S., CGC
- Christian Briana Conley, LPN
- Connecting the Dots Hudson Valley Youth & Family Services Inc.
- David Bradford Connell, D.C.
- Deborah C Connelly, CCC-SLP
- Michele R Conner-Shephard I, PSY.D
- Cliff P Connery, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.