Active NPI
Karen C Feliciano, NP-C
- Family Nurse Practitioner
- Newburgh, NY
National Provider Identifier
1811277171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336789
- Practice address
- 5159 Route 9W # B
Newburgh, NY 12550-1452 - Phone
- (845) 563-9070
- Fax
- (845) 563-9072
- NPI assigned
- Aug 18, 2011
- Last updated
- Nov 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336789 | NY | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 562552 | NY |
Addresses
Primary practice location
5159 Route 9W # B
Newburgh, NY 12550-1452
Mailing address
5159 Route 9W # B
Newburgh, NY 12550-1452
Phone (845) 563-9070
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 562552 | NY | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480032000000",
"number": "1811277171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5159 ROUTE 9W # B",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501452",
"telephone_number": "845-563-9070",
"fax_number": "845-563-9072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5159 ROUTE 9W # B",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501452",
"telephone_number": "845-563-9070",
"fax_number": "845-563-9072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELICIANO",
"first_name": "KAREN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-18",
"last_updated": "2016-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336789",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NY",
"license": "562552",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.