Individual provider Active NPI

Yvonne Fano Reid, RN

  • Home Health Registered Nurse
  • Kingston, NY
National Provider Identifier
1730314394
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
390355 Issued in NY
Practice address
107 Greenkill Ave
Kingston, NY 12401-5441
Phone
(845) 339-6683
Fax
(845) 339-7319
NPI assigned
May 26, 2009
Last updated
Aug 3, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 390355 NY Primary

Addresses

Primary practice location

107 Greenkill Ave
Kingston, NY 12401-5441

Mailing address

200 Schildknecht Rd
Hurley, NY 12443-6016
Phone (845) 684-5122

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
390355NYMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ulster Home Health Services Inc 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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1730314394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHILDKNECHT RD",
            "city": "HURLEY",
            "state": "NY",
            "postal_code": "124436016",
            "telephone_number": "845-684-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GREENKILL AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015441",
            "telephone_number": "845-339-6683",
            "fax_number": "845-339-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANO REID",
        "first_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "390355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.