Individual provider Active NPI

Kristine D Magill

  • Registered Nurse
  • Liverpool, NY
National Provider Identifier
1710608468
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
508529-1 Issued in NY
Practice address
417 Electronics Pkwy
Liverpool, NY 13088-6001
Phone
(315) 432-5636
Fax
(315) 432-0916
NPI assigned
Sep 9, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 508529-1 NY Primary

Addresses

Primary practice location

417 Electronics Pkwy
Liverpool, NY 13088-6001

Mailing address

417 Electronics Pkwy
Liverpool, NY 13088-6001
Phone (315) 432-5636

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

State licenses

LicenseStateTypeSpecialty
508529-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1710608468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ELECTRONICS PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886001",
            "telephone_number": "315-432-5636",
            "fax_number": "315-432-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ELECTRONICS PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886001",
            "telephone_number": "315-432-5636",
            "fax_number": "315-432-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "KRISTINE",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "508529-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.