Individual provider Active NPI

Kylie Jurgeleit

  • Student in an Organized Health Care Education/Training Program
  • Albany, NY
National Provider Identifier
1679174866
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
106 New Scotland Ave
Albany, NY 12208-3425
Phone
(518) 694-7221
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

106 New Scotland Ave
Albany, NY 12208-3425

Mailing address

835 Lucas Avenue Ext
Hurley, NY 12443-6209

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Kylie.jurgeleit@acphs.edu
Other URL Kylie.jurgeleit@acphs.edu

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

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1679174866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 LUCAS AVENUE EXT",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "124436209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083425",
            "telephone_number": "518-694-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGELEIT",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kylie.jurgeleit@acphs.edu",
            "affiliation": "N",
            "address_1": "106 New Scotland Ave",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kylie.jurgeleit@acphs.edu",
            "affiliation": "N",
            "address_1": "106 New Scotland Ave",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 4, 2020; 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.