Individual provider Active NPI

Jean Anderson Ralston, OB/GYN NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1780958074
Registry record updated Mar 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
F360417-1 Issued in NY
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

Updated by the provider on Mar 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
F360417-1NYMDObstetrics & 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.

Verify at the official NPI Registry.