Beth Donnelly
Individual provider Active NPI Registered Nurse · Renssealer, NY
NPI 1679705123 · NPPES record last updated Aug 18, 2009
Key facts
- NPI
- 1679705123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 5954241 (NY)
- Practice address
- 87 Washington St
Renssealer, NY 12144 - Phone
- (518) 449-1142
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5954241 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accu Care Home Health Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 5954241 | NY | Yes |
Addresses
Primary practice location
87 Washington St
Renssealer, NY 12144
Mailing address
PO Box 148
Rensselaer, NY 12144
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.