Stacie L Collette, RN
Individual provider Active NPI Community Health Registered Nurse · Brushton, NY
NPI 1487955019 · NPPES record last updated Nov 12, 2010
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2022.
Key facts
- NPI
- 1487955019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 579751 (NY)
- Practice address
- 366 County Route 17
Brushton, NY 12916-4403 - Phone
- (518) 529-7243
- NPI assigned
- Nov 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 579751 | NY | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 579751 | NY | Yes |
Addresses
Primary practice location
366 County Route 17
Brushton, NY 12916-4403
Mailing address
366 County Route 17
Brushton, NY 12916-4403
Phone (518) 529-7243
Other providers in Brushton, NY
- Emily Rae Aubrey
- Nancy Boyer
- Broken Walls Crushed Sidewalks Counseling LCSW PC
- Brushton-Moira Central School
- Joanne Cassavaw
- Stephanie Maneely
- Pamela M Martin
- Penny McQuinn
- Sonya Lemarie Moyer
- Toni Louise Newman
All providers in Brushton, NY · Community Health Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.