Individual provider Active NPI

Elizabeth Cantwell Hedges, REGISTERED NURSE

  • School Registered Nurse
  • Syracuse, NY
National Provider Identifier
1619244159
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
385229-1 Issued in NY
Practice address
171 Spaulding Ave
Syracuse, NY 13205-3218
Phone
(315) 435-4612
Fax
(315) 435-6280
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 385229-1 NY Primary

Addresses

Primary practice location

171 Spaulding Ave
Syracuse, NY 13205-3218

Mailing address

171 Spaulding Ave
Syracuse, NY 13205-3218
Phone (315) 435-4612

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
385229-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1619244159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SPAULDING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053218",
            "telephone_number": "315-435-4612",
            "fax_number": "315-435-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SPAULDING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053218",
            "telephone_number": "315-435-4612",
            "fax_number": "315-435-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "ELIZABETH",
        "middle_name": "CANTWELL",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "385229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.