Individual provider Active NPI

Cassandra Culmer

  • Licensed Practical Nurse
  • Saint Albans, NY
National Provider Identifier
1609121128
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
306170-1 Issued in NY
Practice address
20514 Linden Blvd
Suite 204
Saint Albans, NY 11412-2900
Phone
(718) 528-5493
Fax
(718) 525-4305
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 306170-1 NY Primary

Addresses

Primary practice location

20514 Linden Blvd
Suite 204
Saint Albans, NY 11412-2900

Mailing address

205-14 Linden Boulevard
Suite 204
St. Albans, NY 11412-2934
Phone (718) 528-5493

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

State licenses

LicenseStateTypeSpecialty
306170-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1609121128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205-14 LINDEN BOULEVARD",
            "address_2": "SUITE 204",
            "city": "ST. ALBANS",
            "state": "NY",
            "postal_code": "114122934",
            "telephone_number": "718-528-5493",
            "fax_number": "718-525-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20514 LINDEN BLVD",
            "address_2": "SUITE 204",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122900",
            "telephone_number": "718-528-5493",
            "fax_number": "718-525-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULMER",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "306170-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.