Active NPI
Jacquelyn Fitzgerald-Bruno, RN
- Registered Nurse
- Wappingers Falls, NY
National Provider Identifier
1629649793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 711727-01
- Practice address
- 22 Ash Rd
Wappingers Falls, NY 12590-7514 - Phone
- (845) 863-9633
- NPI assigned
- Jul 8, 2021
- Last updated
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 711727-01 | NY | Primary |
Addresses
Primary practice location
22 Ash Rd
Wappingers Falls, NY 12590-7514
Mailing address
22 Ash Rd
Wappingers Falls, NY 12590-7514
Phone (845) 863-9633
Other names 1
- Jacquelyn Augusto
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | augustobelles@hotmail.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 711727-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1629649793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ASH RD",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125907514",
"telephone_number": "845-863-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ASH RD",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125907514",
"telephone_number": "845-863-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD-BRUNO",
"first_name": "JACQUELYN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "711727-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "augustobelles@hotmail.com",
"affiliation": "N",
"address_1": "22 Ash Rd",
"city": "Wappingers Falls",
"state": "NY",
"country_code": "US",
"postal_code": "125907514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JACQUELYN",
"last_name": "AUGUSTO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.