Individual provider Active NPI

Jamie Chris Baksa, RN

  • Registered Nurse
  • Troy, NY
National Provider Identifier
1487929022
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
346972-1 Issued in NY
Practice address
3992 Ny 2
Troy, NY 12180-9022
Phone
(518) 279-4600
Fax
(518) 249-0612
NPI assigned
Mar 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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 346972-1 NY Primary

Addresses

Primary practice location

3992 Ny 2
Troy, NY 12180-9022

Mailing address

1601 Rockport CT S
East Greenbush, NY 12061-1103

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
346972-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Town of Brunswick Grafton Central School District 2 Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1487929022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ROCKPORT CT S",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3992 NY 2",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121809022",
            "telephone_number": "518-279-4600",
            "fax_number": "518-249-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSA",
        "first_name": "JAMIE",
        "middle_name": "CHRIS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "346972-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.