Individual provider Active NPI

Melissa Rae Roennpagel, R.N.

  • School Registered Nurse
  • Delanson, NY
National Provider Identifier
1841593274
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
22 423486 Issued in NY
Practice address
165 Chadwick Rd
Delanson, NY 12053-3222
Phone
(518) 895-8310
Fax
(518) 895-2957
NPI assigned
Dec 7, 2010
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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 22 423486 NY Primary

Addresses

Primary practice location

165 Chadwick Rd
Delanson, NY 12053-3222

Mailing address

165 Chadwick Rd
Delanson, NY 12053-3222
Phone (518) 895-8310

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
22 423486NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1841593274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHADWICK RD",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120533222",
            "telephone_number": "518-895-8310",
            "fax_number": "518-895-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 CHADWICK RD",
            "city": "DELANSON",
            "state": "NY",
            "postal_code": "120533222",
            "telephone_number": "518-895-8310",
            "fax_number": "518-895-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROENNPAGEL",
        "first_name": "MELISSA",
        "middle_name": "RAE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "22  423486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delanson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.