Active NPI
Stacey Belanger, R.N.
- School Registered Nurse
- Bath, NY
National Provider Identifier
1760726558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 574280-1
- Practice address
- 216 Maple HTS
Bath, NY 14810-1016 - Phone
- (607) 776-4123
- NPI assigned
- Nov 16, 2012
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 574280-1 | NY | Primary |
Addresses
Primary practice location
216 Maple HTS
Bath, NY 14810-1016
Mailing address
216 Maple HTS
Bath, NY 14810-1016
Phone (607) 776-4123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 574280-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1760726558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 MAPLE HTS",
"city": "BATH",
"state": "NY",
"postal_code": "148101016",
"telephone_number": "607-776-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MAPLE HTS",
"city": "BATH",
"state": "NY",
"postal_code": "148101016",
"telephone_number": "607-776-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELANGER",
"first_name": "STACEY",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "574280-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.