Active NPI
Edtasha New
- Registered Nurse
- Lockport, NY
National Provider Identifier
1871904441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 00605565
- Practice address
- 120 South New York Street
Lockport, NY 14094 - Phone
- (716) 579-2086
- NPI assigned
- May 16, 2014
- Last updated
- May 16, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 00605565 | NY | Primary |
Addresses
Primary practice location
120 South New York Street
Lockport, NY 14094
Mailing address
120 S New York St
Lockport, NY 14094-4228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00605565 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1871904441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S NEW YORK ST",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140944228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SOUTH NEW YORK STREET",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "14094",
"telephone_number": "716-579-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEW",
"first_name": "EDTASHA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "00605565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.