Active NPI
Karen C Cerinetti, NP
- Primary Care Nurse Practitioner
- Binghamton, NY
National Provider Identifier
1508836495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 330786-1
- Practice address
- 4400 Vestal Parkway
Binghamton, NY 13902 - Phone
- (607) 777-3042
- NPI assigned
- Jan 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | S002121B | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | 330786-1 | NY | Primary |
Addresses
Primary practice location
4400 Vestal Parkway
Binghamton, NY 13902
Mailing address
4400 Vestal Parkway
Binghamton, NY 13902-1625
Phone (607) 777-2221
Other practice location 1
1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500018992 | Other | PA | RR MEDICARE PIN |
| GU039851 | Other | PA | MEDICARE GROUP |
| CC9269 | Other | PA | RR MEDICARE GROUP |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S002121B | PA | MD | Nurse Practitioner |
| 330786-1 | NY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group PC | Past | Accepting new patients | |
| Guthrie Medical Group, P.C. | Past | Accepting new patients | |
| Binghamton University Health Services | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Student Health Clinic/Center
- Binghamton, NY
- NPI 1568679520
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
-
- Family Medicine Physician
- Troy, PA
- NPI 1376592493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1508836495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 VESTAL PARKWAY",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139021625",
"telephone_number": "607-777-2221",
"fax_number": "570-777-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 VESTAL PARKWAY",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13902",
"telephone_number": "607-777-3042"
}
],
"practiceLocations": [
{
"address_1": "1 Guthrie Sq",
"address_purpose": "LOCATION",
"city": "Sayre",
"state": "PA",
"postal_code": "188401625",
"country_code": "US",
"telephone_number": "570-888-5858",
"fax_number": "570-882-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERINETTI",
"first_name": "KAREN",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "S002121B",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NY",
"license": "330786-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PIN",
"identifier": "500018992",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "GU039851",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "CC9269",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.