Individual provider Active NPI

Lauren Mara Incontrera, RN

  • Home Health Registered Nurse
  • Campbell Hall, NY
National Provider Identifier
1568951598
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
298360-1 Issued in NY
Practice address
323 Ridge Rd
Campbell Hall, NY 10916-2612
Phone
(845) 239-9579
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 298360-1 NY Primary

Addresses

Primary practice location

323 Ridge Rd
Campbell Hall, NY 10916-2612

Mailing address

323 Ridge Rd
Campbell Hall, NY 10916-2612
Phone (845) 239-9579

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
298360-1NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1568951598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 RIDGE RD",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162612",
            "telephone_number": "845-239-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 RIDGE RD",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162612",
            "telephone_number": "845-239-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCONTRERA",
        "first_name": "LAUREN",
        "middle_name": "MARA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "298360-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell Hall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.