Active NPI
Diane M Waifield, LPN
- Licensed Practical Nurse
- Burke, NY
National Provider Identifier
1740404268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 151738
- Practice address
- 1024 West Main St
Burke, NY 12917 - Phone
- (518) 483-7022
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 151738 | NY | Primary |
Addresses
Primary practice location
1024 West Main St
Burke, NY 12917
Mailing address
PO Box 9
1024 West Main St
Burke, NY 12917
Phone (518) 483-7022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02421570 | Other | NY | PROVIDER ID NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 151738 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740404268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"address_2": "1024 WEST MAIN ST",
"city": "BURKE",
"state": "NY",
"postal_code": "12917",
"telephone_number": "518-483-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 WEST MAIN ST",
"city": "BURKE",
"state": "NY",
"postal_code": "12917",
"telephone_number": "518-483-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAIFIELD",
"first_name": "DIANE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "151738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID NUMBER",
"identifier": "02421570",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burke, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.