Individual provider Active NPI

Christine J Pieczonka, RN

  • Local Education Agency (LEA)
  • Hamburg, NY
National Provider Identifier
1871861732
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
425640 Issued in NY
Practice address
4737 Lake Shore Rd
C/O St Mary of the Lake School,
Hamburg, NY 14075-3308
Phone
(716) 627-7700
Fax
(716) 627-1255
NPI assigned
Dec 7, 2011
Last updated
Dec 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 425640 NY Primary

Addresses

Primary practice location

4737 Lake Shore Rd
C/O St Mary of the Lake School,
Hamburg, NY 14075-3308

Mailing address

4737 Lake Shore Rd
C/O St Mary of the Lake School,
Hamburg, NY 14075-3308
Phone (716) 627-7700

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
425640NYMDLocal Education Agency (LEA)

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys of the Lake 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1871861732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 LAKE SHORE RD",
            "address_2": "C/O ST MARY OF THE LAKE SCHOOL,",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753308",
            "telephone_number": "716-627-7700",
            "fax_number": "716-627-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 LAKE SHORE RD",
            "address_2": "C/O ST MARY OF THE LAKE SCHOOL,",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753308",
            "telephone_number": "716-627-7700",
            "fax_number": "716-627-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIECZONKA",
        "first_name": "CHRISTINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "425640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.