Individual provider Active NPI

Lorraine Kourofsky, RN

  • Registered Nurse
  • Chateaugay, NY
National Provider Identifier
1972879559
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
296180-1 Issued in NY
Practice address
42 River St
Pob 904
Chateaugay, NY 12920-2002
Phone
(518) 497-6611
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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 296180-1 NY Primary

Addresses

Primary practice location

42 River St
Pob 904
Chateaugay, NY 12920-2002

Mailing address

42 River St
Pob 904
Chateaugay, NY 12920-2002
Phone (518) 497-6611

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
296180-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Chateaugay Central School Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1972879559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RIVER ST",
            "address_2": "POB 904",
            "city": "CHATEAUGAY",
            "state": "NY",
            "postal_code": "129202002",
            "telephone_number": "518-497-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 RIVER ST",
            "address_2": "POB 904",
            "city": "CHATEAUGAY",
            "state": "NY",
            "postal_code": "129202002",
            "telephone_number": "518-497-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUROFSKY",
        "first_name": "LORRAINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "296180-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chateaugay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.