Active NPI
Nancy Billand Brother, R.N.
- School Registered Nurse
- Montgomery, NY
National Provider Identifier
1508136383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 333953-1
- Practice address
- 1175 State Route 17K
Montgomery, NY 12549-2245 - Phone
- (845) 457-2400
- Fax
- (845) 457-4056
- NPI assigned
- Jan 10, 2012
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 333953-1 | NY | Primary |
Addresses
Primary practice location
1175 State Route 17K
Montgomery, NY 12549-2245
Mailing address
1175 State Route 17K
Montgomery, NY 12549-2245
Phone (845) 457-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333953-1 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 333953-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1508136383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 STATE ROUTE 17K",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492245",
"telephone_number": "845-457-2400",
"fax_number": "845-457-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 STATE ROUTE 17K",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "125492245",
"telephone_number": "845-457-2400",
"fax_number": "845-457-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHER",
"first_name": "NANCY",
"middle_name": "BILLAND",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-10",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "333953-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE EDUCATION DEPARTMENT",
"identifier": "333953-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.