Active NPI
Carrie Rengert
- Licensed Practical Nurse
- Attica, NY
National Provider Identifier
1790341840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 278139-1
- Practice address
- 29 Northview Park
Attica, NY 14011-1111 - Phone
- (585) 297-5400
- NPI assigned
- May 14, 2019
- Last updated
- May 14, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 278139-1 | NY | Primary |
Addresses
Primary practice location
29 Northview Park
Attica, NY 14011-1111
Mailing address
29 Northview Park
Attica, NY 14011-1111
Phone (585) 297-5400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | crengert@live.com | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 278139-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1790341840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 NORTHVIEW PARK",
"city": "ATTICA",
"state": "NY",
"postal_code": "140111111",
"telephone_number": "585-297-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 NORTHVIEW PARK",
"city": "ATTICA",
"state": "NY",
"postal_code": "140111111",
"telephone_number": "585-297-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENGERT",
"first_name": "CARRIE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-14",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "278139-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "crengert@live.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "private",
"address_1": "29 Northview Park",
"city": "Attica",
"state": "NY",
"country_code": "US",
"postal_code": "140111111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Attica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.