Active NPI
Andrea J Attardo, NP
- Adult Health Nurse Practitioner
- Chester, NY
National Provider Identifier
1659429702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F304551
- Practice address
- 1460 Route 17M
Chester, NY 10918-1054 - Phone
- (845) 469-4211
- Fax
- (845) 469-2339
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304551 | NY | Primary |
Addresses
Primary practice location
1460 Route 17M
Chester, NY 10918-1054
Mailing address
2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 324475 | Other | NY | RN LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304551 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1659429702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COATES DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246758",
"telephone_number": "845-651-1412",
"fax_number": "845-651-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 ROUTE 17M",
"city": "CHESTER",
"state": "NY",
"postal_code": "109181054",
"telephone_number": "845-469-4211",
"fax_number": "845-469-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTARDO",
"first_name": "ANDREA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "324475",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.