Active NPI
Cassandra Lee Coyle, ANP, CDE
- Adult Health Nurse Practitioner
- Rensselaer, NY
National Provider Identifier
1952540346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306771
- Practice address
- 279 Troy Rd
Rennselaer County Plaza
Rensselaer, NY 12144-9518 - Phone
- (518) 286-1922
- Fax
- (518) 283-3225
- NPI assigned
- Feb 10, 2009
- Last updated
- Jul 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306771 | NY | Primary |
| Diabetes Educator Registered Nurse | 163WD0400X | 470004 | NY |
Addresses
Primary practice location
279 Troy Rd
Rennselaer County Plaza
Rensselaer, NY 12144-9518
Mailing address
279 Troy Rd
Rennselaer County Plaza
Rensselaer, NY 12144-9518
Phone (518) 286-1922
Other names 1
- Cassandra Lee Bernard
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 470004 | NY | MD | Diabetes Educator Registered Nurse |
| 306771 | NY | MD | Neurology with Special Qualifications in Child Neurology Physician |
| F306771 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405209600000",
"number": "1952540346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 TROY RD",
"address_2": "RENNSELAER COUNTY PLAZA",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121449518",
"telephone_number": "518-286-1922",
"fax_number": "518-283-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 TROY RD",
"address_2": "RENNSELAER COUNTY PLAZA",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121449518",
"telephone_number": "518-286-1922",
"fax_number": "518-283-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYLE",
"first_name": "CASSANDRA",
"middle_name": "LEE",
"credential": "ANP, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-10",
"last_updated": "2014-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306771",
"primary": true
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "470004",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "BERNARD",
"middle_name": "LEE",
"credential": "NP, CDE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rensselaer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.