Active NPI
Christine Marie Delong, LPN LICENSE
- Licensed Practical Nurse
- Poughkeepsie, NY
National Provider Identifier
1881731396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 1776861
- Practice address
- 29 Wendy Dr
Poughkeepsie, NY 12603-6017 - Phone
- (845) 298-2176
- Fax
- (845) 298-2176
- NPI assigned
- Jan 31, 2007
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 1776861 | NY | Primary |
Addresses
Primary practice location
29 Wendy Dr
Poughkeepsie, NY 12603-6017
Mailing address
PO Box 400
Hyde Park, NY 12538-0400
Phone (845) 453-8843
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01455361 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1776861 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881731396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "HYDE PARK",
"state": "NY",
"postal_code": "125380400",
"telephone_number": "845-453-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 WENDY DR",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126036017",
"telephone_number": "845-298-2176",
"fax_number": "845-298-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELONG",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPN LICENSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "1776861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01455361",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.