Individual provider Active NPI

Amy Garbincus, RN

  • Registered Nurse
  • Ithaca, NY
National Provider Identifier
1932816964
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
672981 Issued in NY
Practice address
400 Lake St
Ithaca, NY 14850-2132
Phone
(607) 274-2101
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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 672981 NY Primary

Addresses

Primary practice location

400 Lake St
Ithaca, NY 14850-2132

Mailing address

1429 Trumansburg Rd
Ithaca, NY 14850-9530
Phone (607) 339-1853

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.garbincus@icsd.k12.ny.us

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
672981NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ithaca City School District PastSince Nov 6, 2022 Accepting new patients

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1932816964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 TRUMANSBURG RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148509530",
            "telephone_number": "607-339-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502132",
            "telephone_number": "607-274-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARBINCUS",
        "first_name": "AMY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "672981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.garbincus@icsd.k12.ny.us",
            "affiliation": "N",
            "address_1": "400 Lake St",
            "city": "Ithaca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "148502132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.