Active NPI
Kara Quackenbush
- Specialist
- Queensbury, NY
National Provider Identifier
1932926623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 413 Bay Rd
Queensbury, NY 12804-1408 - Phone
- (518) 761-2025
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
413 Bay Rd
Queensbury, NY 12804-1408
Mailing address
16 Gloria Dr
Latham, NY 12110-4716
Phone (518) 772-8328
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1932926623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GLORIA DR",
"city": "LATHAM",
"state": "NY",
"postal_code": "121104716",
"telephone_number": "518-772-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 BAY RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128041408",
"telephone_number": "518-761-2025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACKENBUSH",
"first_name": "KARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.