Individual provider Active NPI

Patricia Ann Guenthner, RN

  • Registered Nurse
  • East Syracuse, NY
National Provider Identifier
1568828234
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
288355 Issued in NY
Practice address
6007 Fair Lakes Rd
Suite 400
East Syracuse, NY 13057-1253
Phone
(315) 234-5730
Fax
(315) 234-5745
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 288355 NY Primary

Addresses

Primary practice location

6007 Fair Lakes Rd
Suite 400
East Syracuse, NY 13057-1253

Mailing address

11 Meadow St
Marcellus, NY 13108-1107
Phone (315) 673-1579

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

LicenseStateTypeSpecialty
288355NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1568828234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEADOW ST",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081107",
            "telephone_number": "315-673-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 FAIR LAKES RD",
            "address_2": "SUITE 400",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571253",
            "telephone_number": "315-234-5730",
            "fax_number": "315-234-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTHNER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "288355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.