Individual provider Active NPI

Laurie Crast, RN

  • School Registered Nurse
  • Sandy Creek, NY
National Provider Identifier
1912276973
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
349273-1 Issued in NY
Practice address
124 Salisbury St
Sandy Creek, NY 13145-0248
Phone
(315) 387-3445
Fax
(315) 387-2196
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 349273-1 NY Primary

Addresses

Primary practice location

124 Salisbury St
Sandy Creek, NY 13145-0248

Mailing address

124 Salisbury St
PO Box 248
Sandy Creek, NY 13145-0248
Phone (315) 387-3465

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
349273-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1912276973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SALISBURY ST",
            "address_2": "PO BOX 248",
            "city": "SANDY CREEK",
            "state": "NY",
            "postal_code": "131450248",
            "telephone_number": "315-387-3465",
            "fax_number": "315-387-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SALISBURY ST",
            "city": "SANDY CREEK",
            "state": "NY",
            "postal_code": "131450248",
            "telephone_number": "315-387-3445",
            "fax_number": "315-387-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAST",
        "first_name": "LAURIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "349273-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Creek, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.