Rebecca L Clarkin, CRNA
Individual provider Active NPI Family Nurse Practitioner · Gloversville, NY
NPI 1629079397 · NPPES record last updated May 7, 2024
Key facts
- NPI
- 1629079397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 353395 (NY)
- Practice address
- 99 E State St
Gloversville, NY 12078-1203 - Phone
- (518) 773-5559
- Fax
- (518) 773-5601
- NPI assigned
- Aug 3, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353395 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan Littauer Hospital Association | Past | Accepting new patients | |
| Upstate Anesthesia Services, P.C. | Past | Accepting new patients | |
| American Anesthesiology of New York, PC | Past | Accepting new patients | |
| Empire Ansths Medcl Conslnts | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Troy Infectious Disease and Primary Care LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 418838 | NY | |
| Family Nurse Practitioner | 363LF0000X | 353395 | NY | Yes |
Addresses
Primary practice location
99 E State St
Gloversville, NY 12078-1203
Mailing address
99 E State St
PO Box 1250
Gloversville, NY 12078-1203
Phone (518) 773-5559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4152086 | Other | NY | MVP HEALTHCARE |
| 000407763002 | Other | NY | BSH NE NY |
Other names
- Rebecca L Bakyta
Other providers in Gloversville, NY
- Danielle Chirichio
- Toni Marie Christiano
- Linda Christie
- Daniel Joseph Christman
- City of Gloversville
- Elizabeth Clizbe
- Connie Coddington
- Olivia Isabella Coffin
- Shelly Lynn Coffin
- David Paul Cohen
All providers in Gloversville, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.