Individual provider Active NPI

Susan Pavloudakis, RN

  • School Registered Nurse
  • Saugerties, NY
National Provider Identifier
1881317063
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
558157 Issued in NY
Practice address
310 Washington Avenue Ext
Saugerties, NY 12477-5222
Phone
(845) 247-6500
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 558157 NY Primary

Addresses

Primary practice location

310 Washington Avenue Ext
Saugerties, NY 12477-5222

Mailing address

Call Box a
Saugerties, NY 12477
Phone (845) 247-6500

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
558157NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saugerties Central Schools PastSince Sep 25, 2022 Accepting new patients
Saugerties Central School District PastSince Sep 25, 2022 Accepting new patients

Organizations & group practices 2

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": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1881317063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALL BOX A",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "12477",
            "telephone_number": "845-247-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WASHINGTON AVENUE EXT",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "124775222",
            "telephone_number": "845-247-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLOUDAKIS",
        "first_name": "SUSAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "558157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugerties, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.