Individual provider Active NPI

Maegan Huneke, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1013398106
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404980 Issued in NY
Practice address
92 Broad St
Glens Falls, NY 12801-4383
Phone
(518) 480-4002
Fax
(518) 409-4916
NPI assigned
Jun 15, 2015
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 653751 NY
Nurse Practitioner 363L00000X 404980 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404980 NY Primary

Addresses

Primary practice location

92 Broad St
Glens Falls, NY 12801-4383

Mailing address

92 Broad St
Glens Falls, NY 12801-4383
Phone (518) 480-4002

Other identifiers 2

IdentifierTypeStateIssuer
653751OtherNYNYS LISCENSE
404980OtherNYNYS NP LISCENSE

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

LicenseStateTypeSpecialty
653751NYMDRegistered Nurse
404980NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Child Psychiatric NP PLLC Psychiatric/Mental Health PastSince Mar 13, 2022 Accepting new patients
Dragonfly Haven of the Adirondacks LCSW, PLLC PastSince May 9, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maegan.huneke.1@33041.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1013398106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014383",
            "telephone_number": "518-480-4002",
            "fax_number": "518-409-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014383",
            "telephone_number": "518-480-4002",
            "fax_number": "518-409-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNEKE",
        "first_name": "MAEGAN",
        "name_prefix": "Miss",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "653751",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "404980",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LISCENSE",
            "identifier": "653751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS NP LISCENSE",
            "identifier": "404980",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.