Kristen Marie Pruso, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

026240 Issued in NY

Practice address

1108 State St
Schenectady, NY 12304-2610

Phone

(518) 370-1441

Fax

(518) 395-9431

NPI assigned

Mar 25, 2024

Last updated

May 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kristen Marie McCormick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Schenectady Family Health Services, Inc.

  dba Hometown Health Centers at Amsterdam

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1174947469
  NPD (past)
• Schenectady Family Health Services, Inc.

  dba Hometown Health Centers Dental at State Street

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1316624786
  NPD (past)
• Schenectady Family Health Services, Inc.

  dba Hometown Health Centers

  • Family Medicine Physician
  • Schenectady, NY
  • NPI 1396711982
  NPD (past)
• Schenectady Family Health Services, Inc.

  dba Hometown Health Centers Dental at McClellan Street

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1457024218
  NPD (past)
• Schenectady Family Health Services, Inc.

  dba Hometown Health Centers Dental

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1538705819
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1598515454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123071508",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123042610",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSO",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "026240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "53099A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "331803",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MCCORMICK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Prosthetic Care Services 'Procare' Inc.,
• Kathryn A Provencher, LMHC
• Provident Emergency Medicine Associates, PC
• Dana Lorraine Provost, PT
• Michelle Ola Prusaczyk, PHARM. D.
• Purcell Integrative Osteopathic, PLLC
• Michael W Purcell, D.O.
• Peter Francis Purcell, M.D.
• Christina Marie Pustay, MSED
• Allison Quadrini, PHARM D.

• Dental Hygienist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.