Adirondack Registered Professional Nursing Services PLLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC

Doing business as

Adirondack Health and Wellness

Practice address

100 Saratoga Village Blvd Ste 51
Malta, NY 12020-3738

Phone

(518) 886-8251

Fax

(518) 400-1069

NPI assigned

Aug 18, 2009

Last updated

Mar 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kristen PommenvilleNPI 1124757406

Title

Executive Director of Operations

Phone

(518) 886-8251

Specialties & licenses 2

Addresses

Other names 1

• Adirondack Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Pommenville, MSN. RN

  • Registered Nurse
  • Ballston Spa, NY
  • NPI 1124757406
  NPD Authorized official
• Sawyer Nicholas Cantz, RN

  • School Registered Nurse
  • Malta, NY
  • NPI 1518834274
  NPD (past)
• Theresa Cantz

  • Registered Nurse
  • Malta, NY
  • NPI 1861204612
  NPD (past)
• Candy Nalewajek

  • Registered Nurse
  • Malta, NY
  • NPI 1669283610
  NPD (past)
• Kara Elizabeth Sysyn, RN

  • Registered Nurse
  • Malta, NY
  • NPI 1679452577
  NPD (past)
• Grace Vogel, RN

  • Registered Nurse
  • Malta, NY
  • NPI 1356153241
  NPD (past)
• Heidi J Worthman, RN

  • Registered Nurse
  • Malta, NY
  • NPI 1164236378
  NPD (past)
• Arlene Ruth Law

  • Family Nurse Practitioner
  • Arlington, VT
  • NPI 1104371632
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1023240454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SARATOGA VILLAGE BLVD STE 51",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203738",
            "telephone_number": "518-886-8251",
            "fax_number": "518-400-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SARATOGA VILLAGE BLVD STE 51",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203738",
            "telephone_number": "518-886-8251",
            "fax_number": "518-400-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "POMMENVILLE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "518-886-8251",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D2001059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adirondack Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adirondack Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashleigh Abreu, RDN
• Elise Ember Abreu, LICENSED, CCC-SLP
• Agape' Eye Care Optometrist PLLC
• Alexander Pisanello Physical Therapy PLLC
• Mouhab Aljajeh, MD
• Conor Alund
• Mallory Kathleen Anderson-Debell, NPP

• Nursing Care Agency in Malta, NY
• Providers in Malta, NY by specialty
• Nursing Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.