Active NPI
Ramona Marie Udovich, R.N.
- Registered Nurse
- Richfield Springs, NY
National Provider Identifier
1962771428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 255598-1
- Practice address
- 93 Main St
Richfield Springs, NY 13439-4504 - Phone
- (315) 858-0610
- Fax
- (315) 858-2440
- NPI assigned
- Dec 29, 2011
- Last updated
- Dec 29, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 255598-1 | NY | Primary |
Addresses
Primary practice location
93 Main St
Richfield Springs, NY 13439-4504
Mailing address
93 Main Street
P.O. Box 631
Richfield Springs, NY 13439-0631
Phone (315) 858-0610
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
| License | State | Type | Specialty |
|---|---|---|---|
| 255598-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Past | Accepting new patients | |
| Richfield Springs CSD | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Richfield Springs, NY
- NPI 1174673461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1962771428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 MAIN STREET",
"address_2": "P.O. BOX 631",
"city": "RICHFIELD SPRINGS",
"state": "NY",
"postal_code": "134390631",
"telephone_number": "315-858-0610",
"fax_number": "315-858-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 MAIN ST",
"city": "RICHFIELD SPRINGS",
"state": "NY",
"postal_code": "134394504",
"telephone_number": "315-858-0610",
"fax_number": "315-858-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDOVICH",
"first_name": "RAMONA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-29",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "255598-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richfield Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.