Active NPI
Jean Anderson Ralston, OB/GYN NP
- Obstetrics & Gynecology Nurse Practitioner
- Poughkeepsie, NY
National Provider Identifier
1780958074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- F360417-1
- Practice address
- 178 Church St
Poughkeepsie, NY 12601-4165 - Phone
- (845) 471-1530
- NPI assigned
- Mar 4, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | F360417-1 | NY | Primary |
Addresses
Primary practice location
178 Church St
Poughkeepsie, NY 12601-4165
Mailing address
85 Duncan Rd
Lagrangeville, NY 12540-5825
Phone (845) 724-5606
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F360417-1 | NY | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330819200000",
"number": "1780958074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 DUNCAN RD",
"city": "LAGRANGEVILLE",
"state": "NY",
"postal_code": "125405825",
"telephone_number": "845-724-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CHURCH ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126014165",
"telephone_number": "845-471-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTON",
"first_name": "JEAN",
"middle_name": "ANDERSON",
"credential": "OB/GYN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-04",
"last_updated": "2012-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "F360417-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 4, 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.