Individual provider Active NPI

Olivia Dunbar, RN

  • School Registered Nurse
  • Glens Falls, NY
National Provider Identifier
1699596668
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
755101 Issued in NY
Practice address
10-12 Church St
Glens Falls, NY 12801-3693
Phone
(518) 792-3178
Fax
(518) 792-6056
NPI assigned
Oct 22, 2024
Last updated
Oct 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 755101 NY Primary

Addresses

Primary practice location

10-12 Church St
Glens Falls, NY 12801-3693

Mailing address

10-12 Church St
Glens Falls, NY 12801-3693
Phone (518) 792-3178

Other practice location 1

24 Jackson Ave
Glens Falls, NY 12801-2433
Phone (518) 792-1071

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
755101NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls City School District 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1699596668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10-12 CHURCH ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013693",
            "telephone_number": "518-792-3178",
            "fax_number": "518-792-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-12 CHURCH ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013693",
            "telephone_number": "518-792-3178",
            "fax_number": "518-792-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128012433",
            "country_code": "US",
            "telephone_number": "518-792-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "OLIVIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "755101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.