Active NPI
Deidre Leann Bales-Poirot, APRN, CPNP-PC
- Pediatric Nurse Practitioner
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F383232
- Practice address
- 301 Manchester Rd Ste 105
Poughkeepsie, NY 12603-2587 - Phone
- (845) 452-1700
- NPI assigned
- Nov 25, 2008
- Last updated
- Jun 1, 2021
- 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004014988 | MO | MD | Registered Nurse |
| 815916 | NY | MD | Registered Nurse |
| R0101133 | OK | MD | Registered Nurse |
| AP10033 | AZ | MD | Pediatric Nurse Practitioner |
| F383232 | NY | MD | Pediatric Nurse Practitioner |
| R0101131 | OK | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Nurse Practitioner | Current | Accepting new patients |
| Albany Medical College | Nurse Practitioner | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Nurse Practitioner | Current | 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
- 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.
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
Nurse Practitioner
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
dba Albany Medical College Department of Pediatrics
- Pediatrics Physician
- Albany, NY
- NPI 1750315636
Nurse Practitioner
-
dba Alabany Medical College Dept of Anesthesia
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
Nurse Practitioner
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.