Diane F Pelligra, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

420246-1 Issued in NY

Practice address

715 Glenwood Ave
Syracuse, NY 13207-1538

Phone

(315) 435-5851

Fax

(315) 435-5869

NPI assigned

Nov 8, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320710400000",
    "number": "1558648303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 GLENWOOD AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071538",
            "telephone_number": "315-435-5851",
            "fax_number": "315-435-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 GLENWOOD AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132071538",
            "telephone_number": "315-435-5851",
            "fax_number": "315-435-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLIGRA",
        "first_name": "DIANE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "420246-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Elizabeth Pellegrino, MD
• Louis Pellegrino, MD
• Alexandra Francess Pelletier
• Chase Coleman Pellett, MD
• Tanya Pellettiere, PHD
• Patricia Pelligrini, RN
• Anthony Richard Pelose, R.PH.
• Kaylin Shaye Pelotenia, PMHNP-BC
• Gayatri Pemmasani, MD
• Lindsay Marie Pendergast, M.S., CCC-SLP/LIC.

• Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.