Individual provider Active NPI

Lydia R O'Connell

  • Registered Nurse
  • Troy, NY
National Provider Identifier
1902632219
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
616134 Issued in NY
Practice address
289 Oakwood Ave Ste C
Troy, NY 12182-1708
Phone
(518) 274-6525
Fax
(518) 274-6511
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 616134 NY Primary

Addresses

Primary practice location

289 Oakwood Ave Ste C
Troy, NY 12182-1708

Mailing address

289 Oakwood Ave Ste C
Troy, NY 12182-1708
Phone (518) 274-6525

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

LicenseStateTypeSpecialty
616134NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CNS Home Care Inc. CurrentSince Sep 15, 2024 Accepting new patients

Locations

289 Oakwood Ave
Ste C
Troy, NY 12182

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.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1902632219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 OAKWOOD AVE STE C",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821708",
            "telephone_number": "518-274-6525",
            "fax_number": "518-274-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 OAKWOOD AVE STE C",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821708",
            "telephone_number": "518-274-6525",
            "fax_number": "518-274-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "LYDIA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "616134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.