Individual provider Active NPI

Nancy T Laterra-Ferraro, MS, RN, CP NP

  • Pediatric Nurse Practitioner
  • Goshen, NY
National Provider Identifier
1710055439
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
381310-1 Issued in NY
Practice address
40 Matthews St
Suite 201
Goshen, NY 10924-1986
Phone
(845) 360-5373
Fax
(845) 360-5669
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 381310-1 NY Primary

Addresses

Primary practice location

40 Matthews St
Suite 201
Goshen, NY 10924-1986

Mailing address

40 Matthews St
Suite 201
Goshen, NY 10924-1986
Phone (845) 360-5373

Other identifiers 1

IdentifierTypeStateIssuer
381310-1OtherNYLICENSE

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
Certified Pediatric Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
381310-1NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710055439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MATTHEWS ST",
            "address_2": "SUITE 201",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241986",
            "telephone_number": "845-360-5373",
            "fax_number": "845-360-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MATTHEWS ST",
            "address_2": "SUITE 201",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241986",
            "telephone_number": "845-360-5373",
            "fax_number": "845-360-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATERRA-FERRARO",
        "first_name": "NANCY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "MS, RN, CP NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "381310-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "381310-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.