Active NPI
Maryellen King, NP
- Adult Health Nurse Practitioner
- Albany, NY
National Provider Identifier
1528298437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305210
- Practice address
- 7 Southwoods Blvd
Capital Cardiology Associates, PC
Albany, NY 12211-2526 - Phone
- (518) 292-6000
- Fax
- (518) 292-6050
- NPI assigned
- Jul 27, 2009
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305210 | NY | Primary |
Addresses
Primary practice location
7 Southwoods Blvd
Capital Cardiology Associates, PC
Albany, NY 12211-2526
Mailing address
7 Southwoods Blvd
Capital Cardiology Associates, PC
Albany, NY 12211-2526
Phone (518) 292-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1029964 | Medicaid | VT | |
| 110121412A | Medicaid | MA | |
| 03301140 | Medicaid | NY |
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 |
|---|---|---|---|
| F305210 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burdett Orthopedics, PC | Past | Accepting new patients | |
| Athletic Dynamics LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Albany, NY
- NPI 1912966409
-
- Orthopaedic Surgery Physician
- Troy, NY
- NPI 1801816327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501804800000",
"number": "1528298437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SOUTHWOODS BLVD",
"address_2": "CAPITAL CARDIOLOGY ASSOCIATES, PC",
"city": "ALBANY",
"state": "NY",
"postal_code": "122112526",
"telephone_number": "518-292-6000",
"fax_number": "518-292-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 SOUTHWOODS BLVD",
"address_2": "CAPITAL CARDIOLOGY ASSOCIATES, PC",
"city": "ALBANY",
"state": "NY",
"postal_code": "122112526",
"telephone_number": "518-292-6000",
"fax_number": "518-292-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MARYELLEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2017-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1029964",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110121412A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03301140",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.