Individual provider Active NPI

Carolyn S. Tobin, RN

  • Registered Nurse
  • Brewster, NY
National Provider Identifier
1598069304
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
244419 Issued in NY
Practice address
202 Ridgetop LN
Reed Farm
Brewster, NY 10509-6013
Phone
(845) 279-0443
NPI assigned
Jan 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 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 244419 NY Primary

Addresses

Primary practice location

202 Ridgetop LN
Reed Farm
Brewster, NY 10509-6013

Mailing address

202 Ridgetop LN
Reed Farm
Brewster, NY 10509-6013
Phone (845) 279-0443

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

NPI Registry JSON

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294444800000",
    "number": "1598069304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 RIDGETOP LN",
            "address_2": "REED FARM",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105096013",
            "telephone_number": "845-279-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 RIDGETOP LN",
            "address_2": "REED FARM",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105096013",
            "telephone_number": "845-279-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "CAROLYN",
        "middle_name": "S.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "244419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

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