Active NPI
Charity M Ledbetter
- Taxi
- Ballston Spa, NY
National Provider Identifier
1982139747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- 04693427
- Practice address
- 245 Paisley Rd
Apt. C2
Ballston Spa, NY 12020-2149 - Phone
- (518) 369-9725
- NPI assigned
- Apr 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Taxi | 344600000X | 04693427 | NY | Primary |
Addresses
Primary practice location
245 Paisley Rd
Apt. C2
Ballston Spa, NY 12020-2149
Mailing address
245 Paisley Rd
Apt. C2
Ballston Spa, NY 12020-2149
Phone (518) 369-9725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04693427 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04693427 | NY | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1982139747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 PAISLEY RD",
"address_2": "APT. C2",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202149",
"telephone_number": "518-369-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 PAISLEY RD",
"address_2": "APT. C2",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202149",
"telephone_number": "518-369-9725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "CHARITY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": "04693427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04693427",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.