Individual provider Active NPI

Mary Bernadette Nolan, RN

  • Registered Nurse
  • Tarrytown, NY
National Provider Identifier
1598046872
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
314739-1 Issued in NY
Practice address
303 S Broadway
Suite 321
Tarrytown, NY 10591-5413
Phone
(914) 631-1611
Fax
(914) 524-7661
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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 314739-1 NY Primary

Addresses

Primary practice location

303 S Broadway
Suite 321
Tarrytown, NY 10591-5413

Mailing address

303 S Broadway
Suite 321
Tarrytown, NY 10591-5413
Phone (914) 631-1611

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
314739-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Health Plan Cid Project Past Accepting new patients
Hudson Valley Care Coalition Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.mvphealthcare.com/Patientfhirapi

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.

NPI Registry JSON

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1598046872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY",
            "address_2": "SUITE 321",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915413",
            "telephone_number": "914-631-1611",
            "fax_number": "914-524-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY",
            "address_2": "SUITE 321",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915413",
            "telephone_number": "914-631-1611",
            "fax_number": "914-524-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MARY",
        "middle_name": "BERNADETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "314739-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.