Active NPI
Catherine M Bushey Calley, NP
- Nurse Practitioner
- Plattsburgh, NY
National Provider Identifier
1962553156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F300427-1
- Practice address
- 294 Tom Miller Rd
Plattsburgh, NY 12901-6427 - Phone
- (518) 324-7246
- Fax
- (518) 324-3366
- NPI assigned
- Jan 15, 2007
- Last updated
- Feb 2, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F300427-1 | NY | Primary |
Addresses
Primary practice location
294 Tom Miller Rd
Plattsburgh, NY 12901-6427
Mailing address
294 Tom Miller Rd
Plattsburgh, NY 12901-6427
Phone (518) 324-7246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02433241 | Medicaid | NY | |
| 000490094001 | Other | NY | BSNENY |
| P00076782 | Other | NY | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| F300427-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loretto Rest Realty Corporation | Past | Accepting new patients | |
| Performance Orthopedic Design, LLC | Past | Accepting new patients | |
| Adirondack Interventional Physiatry PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Champlain Spine & Pain Mgt
- Interventional Pain Medicine Physician
- Plattsburgh, NY
- NPI 1821166166
-
- Clinic/Center
- Syracuse, NY
- NPI 1548366271
-
dba Mountain Orthotic & Prosthetic Services
- Prosthetic/Orthotic Supplier
- Malone, NY
- NPI 1669040960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1962553156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 TOM MILLER RD",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016427",
"telephone_number": "518-324-7246",
"fax_number": "518-324-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 TOM MILLER RD",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016427",
"telephone_number": "518-324-7246",
"fax_number": "518-324-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHEY CALLEY",
"first_name": "CATHERINE",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F300427-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02433241",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000490094001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00076782",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.