Individual provider Active NPI

Diann Clansy, RN

  • Registered Nurse
  • Monticello, NY
National Provider Identifier
1639558570
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
623958 Issued in NY
Practice address
11 Hamilton Ave
Monticello, NY 12701-1319
Phone
(845) 794-8080
Fax
(845) 791-1716
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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 623958 NY Primary

Addresses

Primary practice location

11 Hamilton Ave
Monticello, NY 12701-1319

Mailing address

PO Box 337
South Fallsburg, NY 12779-0337
Phone (845) 423-8178

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
623958NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Council on Alcoholism & Drug Abuse of Sullivan County Past Accepting new patients
Council on Alcoholism and Drug Abuse of Sullivan Co., Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1639558570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "SOUTH FALLSBURG",
            "state": "NY",
            "postal_code": "127790337",
            "telephone_number": "845-423-8178",
            "fax_number": "845-791-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAMILTON AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127011319",
            "telephone_number": "845-794-8080",
            "fax_number": "845-791-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANSY",
        "first_name": "DIANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "623958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.