Individual provider Active NPI

Virginia Dong Augustine, RPN

  • School Registered Nurse
  • Albany, NY
National Provider Identifier
1669740189
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
328792-1 Issued in NY
Practice address
30 North Main St..
Albany, NY 11203-1040
Phone
(518) 453-6750
Fax
(518) 453-6785
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 328792-1 NY Primary

Addresses

Primary practice location

30 North Main St..
Albany, NY 11203-1040

Mailing address

30 North Main St.Reet
Albany, NY 11203-1040
Phone (518) 453-6750

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

State licenses

LicenseStateTypeSpecialty
328792-1NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Catherine's Center for Children Past Accepting new patients
St. Catherine's Center for Children 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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1669740189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NORTH MAIN ST.REET",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "112031040",
            "telephone_number": "518-453-6750",
            "fax_number": "518-453-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTH MAIN ST..",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "112031040",
            "telephone_number": "518-453-6750",
            "fax_number": "518-453-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "VIRGINIA",
        "middle_name": "DONG",
        "name_prefix": "Mrs.",
        "credential": "RPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "328792-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.