Individual provider Active NPI

Brenda Joyce Ardrey, R.N.

  • Registered Nurse
  • Fishkill, NY
National Provider Identifier
1821150731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
443900-1 Issued in NY
Practice address
260 Osborne Hill Rd
Fishkill, NY 12524-2519
Phone
(845) 440-3940
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 443900-1 NY Primary

Addresses

Primary practice location

260 Osborne Hill Rd
Fishkill, NY 12524-2519

Mailing address

260 Osborne Hill Rd
Fishkill, NY 12524-2519
Phone (845) 440-3940

Other identifiers 1

IdentifierTypeStateIssuer
01457478OtherNYMEDICAID PROVIDER ID

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
443900-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hillside Health Care R.N., P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821150731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 OSBORNE HILL RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242519",
            "telephone_number": "845-440-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 OSBORNE HILL RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242519",
            "telephone_number": "845-440-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDREY",
        "first_name": "BRENDA",
        "middle_name": "JOYCE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "443900-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER ID",
            "identifier": "01457478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.