Active NPI
Laura F. Pruett
- Behavior Technician
- Halfmoon, NY
National Provider Identifier
1508347402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 23 Sitterly Rd
Halfmoon, NY 12065-5613 - Phone
- (518) 899-9235
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
23 Sitterly Rd
Halfmoon, NY 12065-5613
Mailing address
23 Sitterly Rd
Halfmoon, NY 12065-5613
Phone (518) 899-9235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106S00000X | Other | NY | NEWMEADOW, INC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newmeadow, Inc. | 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.
-
- Early Intervention Provider Agency
- Clifton Park, NY
- NPI 1831342963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1508347402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 SITTERLY RD",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120655613",
"telephone_number": "518-899-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 SITTERLY RD",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120655613",
"telephone_number": "518-899-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "LAURA",
"middle_name": "F.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEWMEADOW, INC",
"identifier": "106S00000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.