Tannia Cupertino, MSN, RN, APN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F335385-1 Issued in NY

Practice address

390 Crystal Run Rd
Wallkill Medical Arts Building, Suite 101
Middletown, NY 10941-4050

Phone

(845) 695-6884

Fax

(845) 695-6886

NPI assigned

Mar 5, 2008

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

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1588834527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVENUE L",
            "city": "MATAMORAS",
            "state": "PA",
            "postal_code": "183361602",
            "telephone_number": "570-491-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CRYSTAL RUN RD",
            "address_2": "WALLKILL MEDICAL ARTS BUILDING, SUITE 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414050",
            "telephone_number": "845-695-6884",
            "fax_number": "845-695-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPERTINO",
        "first_name": "TANNIA",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335385-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Run Village, Inc.
• Arelis Cuevas, MSOTR/L
• Mikayla Cullen, PT, DPT
• Karen Culmer
• Kristi Cummings
• Joseph Anthony Cupoli, PA-C
• Fiona Michelle Curley
• Lisa Currao
• Valerie E Curro, DO
• Jennifer Nicole Curtin, AUD

• Family Nurse Practitioner in Middletown, NY
• Providers in Middletown, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.