Individual provider Active NPI

Rachel J. Gustina, N.P.

  • Adult Health Nurse Practitioner
  • Bath, NY
National Provider Identifier
1699923490
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301206 Issued in NY
Practice address
7009 Rumsey St. Extension
Bath, NY 14810-7827
Phone
(607) 776-7651
Fax
(607) 664-1020
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301206 NY Primary

Addresses

Primary practice location

7009 Rumsey St. Extension
Bath, NY 14810-7827

Mailing address

7009 Rumsey St. Extension
Bath, NY 14810-7827
Phone (607) 776-7651

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F301206NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1699923490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 RUMSEY ST. EXTENSION",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148107827",
            "telephone_number": "607-776-7651",
            "fax_number": "607-664-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 RUMSEY ST. EXTENSION",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148107827",
            "telephone_number": "607-776-7651",
            "fax_number": "607-664-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTINA",
        "first_name": "RACHEL",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.