Individual provider Active NPI

Karen Sue Aubertine, RN

  • Registered Nurse
  • Redwood, NY
National Provider Identifier
1477883221
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
444595-1 Issued in NY
Practice address
27801 Tamarack Rd
Redwood, NY 13679-3145
Phone
(315) 482-2550
Fax
(315) 482-2550
NPI assigned
Dec 29, 2009
Last updated
Dec 29, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 444595-1 NY Primary

Addresses

Primary practice location

27801 Tamarack Rd
Redwood, NY 13679-3145

Mailing address

27801 Tamarack Rd
Redwood, NY 13679-3145
Phone (315) 482-2550

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
444595-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1477883221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27801 TAMARACK RD",
            "city": "REDWOOD",
            "state": "NY",
            "postal_code": "136793145",
            "telephone_number": "315-482-2550",
            "fax_number": "315-482-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27801 TAMARACK RD",
            "city": "REDWOOD",
            "state": "NY",
            "postal_code": "136793145",
            "telephone_number": "315-482-2550",
            "fax_number": "315-482-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBERTINE",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "444595-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.