Active NPI
Amy Rae Giboo, R.N.
- Local Education Agency (LEA)
- Belfast, NY
National Provider Identifier
1861709933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 672036
- Practice address
- 1 King St
Belfast, NY 14711-8682 - Phone
- (585) 365-2646
- Fax
- (585) 365-2648
- NPI assigned
- Sep 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 266865-1 | NY | |
| Local Education Agency (LEA) | 251300000X | 672036 | NY | Primary |
Addresses
Primary practice location
1 King St
Belfast, NY 14711-8682
Mailing address
1 King St
Belfast, NY 14711-8682
Phone (585) 365-2646
Other practice location 1
1681 Elton Rd
Franklinville, NY 14737-9554
Phone (716) 676-9880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01377191 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 266865-1 | NY | MD | Licensed Practical Nurse |
| 672036 | NY | MD | Local Education Agency (LEA) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belfast Central School | Local Education Agency (Lea) | 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.
-
- Local Education Agency (LEA)
- Belfast, NY
- NPI 1578688685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1861709933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KING ST",
"city": "BELFAST",
"state": "NY",
"postal_code": "147118682",
"telephone_number": "585-365-2646",
"fax_number": "585-365-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KING ST",
"city": "BELFAST",
"state": "NY",
"postal_code": "147118682",
"telephone_number": "585-365-2646",
"fax_number": "585-365-2648"
}
],
"practiceLocations": [
{
"address_1": "1681 Elton Rd",
"address_purpose": "LOCATION",
"city": "Franklinville",
"state": "NY",
"postal_code": "147379554",
"country_code": "US",
"telephone_number": "716-676-9880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBOO",
"first_name": "AMY",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "266865-1",
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "NY",
"license": "672036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01377191",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belfast, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.