Individual provider Active NPI

Catherine J. Preble, R.N.

  • School Registered Nurse
  • Rome, NY
National Provider Identifier
1982974309
Registry record updated Jan 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
474961 1 Issued in NY
Practice address
7118 Brennon Ave
Rome, NY 13440-6230
Phone
(315) 338-5274
Fax
(315) 334-7472
NPI assigned
Jan 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 474961 1 NY Primary

Addresses

Primary practice location

7118 Brennon Ave
Rome, NY 13440-6230

Mailing address

7118 Brennon Ave
Rome, NY 13440-6230
Phone (315) 338-5274

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
474961 1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1982974309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7118 BRENNON AVE",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134406230",
            "telephone_number": "315-338-5274",
            "fax_number": "315-334-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7118 BRENNON AVE",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134406230",
            "telephone_number": "315-338-5274",
            "fax_number": "315-334-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBLE",
        "first_name": "CATHERINE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "474961 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.