Active NPI
Kristal Allen
- Specialist
- East Greenbush, NY
National Provider Identifier
1669996476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 673 Columbia Tpke
East Greenbush, NY 12061-2130 - Phone
- (518) 233-0544
- NPI assigned
- Aug 2, 2017
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
673 Columbia Tpke
East Greenbush, NY 12061-2130
Mailing address
673 Columbia Turnpike
PO Box 630
East Greenbush, NY 12061
Phone (518) 233-0544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNSURE | Other | SPECIAL EDUCATION TEACHER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital District Beginnings | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Early Intervention Provider Agency
- East Greenbush, NY
- NPI 1790222313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501632000000",
"number": "1669996476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "673 COLUMBIA TURNPIKE",
"address_2": "PO BOX 630",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "12061",
"telephone_number": "518-233-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "673 COLUMBIA TPKE",
"city": "EAST GREENBUSH",
"state": "NY",
"postal_code": "120612130",
"telephone_number": "518-233-0544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "KRISTAL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2017-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIAL EDUCATION TEACHER",
"identifier": "UNSURE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in East Greenbush, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.