Individual provider Active NPI

Elizabeth Kerry Finegan, RN

  • Registered Nurse
  • Smithtown, NY
National Provider Identifier
1629313457
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
663674-1 Issued in NY
Practice address
153 Plymouth Blvd
Smithtown, NY 11787-2520
Phone
(631) 834-1315
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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 663674-1 NY Primary

Addresses

Primary practice location

153 Plymouth Blvd
Smithtown, NY 11787-2520

Mailing address

153 Plymouth Blvd
Smithtown, NY 11787-2520
Phone (631) 834-1315

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

State licenses

LicenseStateTypeSpecialty
663674-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1629313457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 PLYMOUTH BLVD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872520",
            "telephone_number": "631-834-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 PLYMOUTH BLVD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872520",
            "telephone_number": "631-834-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINEGAN",
        "first_name": "ELIZABETH",
        "middle_name": "KERRY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "663674-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.