Individual provider Active NPI

Deidre Leann Bales-Poirot, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1740435288
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F383232 Issued in NY
Practice address
301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587
Phone
(845) 452-1700
NPI assigned
Nov 25, 2008
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2004014988 MO
Pediatric Nurse Practitioner 363LP0200X R0101131 OK
Pediatric Nurse Practitioner 363LP0200X AP10033 AZ
Pediatric Nurse Practitioner 363LP0200X F383232 NY Primary
Registered Nurse 163W00000X RN206703 AZ
Registered Nurse 163W00000X R0101133 OK
Registered Nurse 163W00000X 2004014988 MO
Registered Nurse 163W00000X 815916 NY

Addresses

Primary practice location

301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587

Mailing address

301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587

Other names 1

  • Mrs. Deidre Leann Bales-Poirot Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2004014988MOMDRegistered Nurse
815916NYMDRegistered Nurse
R0101133OKMDRegistered Nurse
AP10033AZMDPediatric Nurse Practitioner
F383232NYMDPediatric Nurse Practitioner
R0101131OKMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Mar 13, 2023 Accepting new patients
Albany Medical College Nurse Practitioner Current Accepting new patients
Albany Medical College Nurse Practitioner CurrentSince Mar 13, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Nurse Practitioner CurrentSince Mar 13, 2023 Accepting new patients
Albany Medical College Nurse Practitioner Current Accepting new patients
Anadarko Indian Health Center Past Accepting new patients

Locations

391 Myrtle Ave
Ste 1A1
Albany, NY 12208

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

Interoperability endpoints

  • Direct secure messaging: dbalespoiriot36199@albanymed.direct-ci.com

Organizations & group practices 7

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": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1740435288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANCHESTER RD STE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032587",
            "telephone_number": "845-452-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES-POIROT",
        "first_name": "DEIDRE",
        "middle_name": "LEANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2004014988",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "R0101131",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP10033",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383232",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN206703",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0101133",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2004014988",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "815916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRE",
            "last_name": "BALES-POIROT",
            "middle_name": "LEANN",
            "prefix": "MRS.",
            "credential": "APRN, CNPN-PC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.