Individual provider Active NPI

Maria Gabrielle Saccuccimorano, RN

  • School Registered Nurse
  • Ithaca, NY
National Provider Identifier
1801365176
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
22671522 Issued in NY
Practice address
Elizabeth Ann Clune Montessori School of Ithaca
120 E King Rd
Ithaca, NY 14850
Phone
(607) 277-7335
Fax
(607) 277-0251
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 22671522 NY Primary

Addresses

Primary practice location

Elizabeth Ann Clune Montessori School of Ithaca
120 E King Rd
Ithaca, NY 14850

Mailing address

Elizabeth Ann Clune Montessori School of Ithaca
120 E King Rd
Ithaca, NY 14850
Phone (607) 277-7335

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

LicenseStateTypeSpecialty
22671522NYMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1801365176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELIZABETH ANN CLUNE MONTESSORI SCHOOL OF ITHACA",
            "address_2": "120 E KING RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-277-7335",
            "fax_number": "607-277-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELIZABETH ANN CLUNE MONTESSORI SCHOOL OF ITHACA",
            "address_2": "120 E KING RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14850",
            "telephone_number": "607-277-7335",
            "fax_number": "607-277-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCUCCIMORANO",
        "first_name": "MARIA",
        "middle_name": "GABRIELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "22671522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.