Active NPI
Southern Adirondack Family Health-NP, PLLC
Doing business as Southern Adirondack Family Health-NP
- Primary Care Clinic/Center
- Queensbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SOUTHERN ADIRONDACK FAMILY HEALTH-NP, PLLC
- Doing business as
- Southern Adirondack Family Health-NP
- Practice address
- 375 Bay Rd Ste 101
Queensbury, NY 12804-3012 - Phone
- (518) 932-7234
- NPI assigned
- Jan 6, 2023
- Last updated
- Mar 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen M Emerson, NP
- Title
- FNP
- Phone
- (518) 932-7234
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
375 Bay Rd Ste 101
Queensbury, NY 12804-3012
Mailing address
375 Bay Rd Ste 101
Queensbury, NY 12804-3012
Phone (518) 932-7234
Other names 1
- Southern Adirondack Family Health-NP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2278322 | Southern Adirondack Family Health - NP PLLC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
375 Bay Rd
Ste 101
Queensbury, NY 12804
Phone (518) 793-4910
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Nurse Practitioner
- Albany, NY
- NPI 1801219605
-
- Cardiovascular Disease Physician
- Glens Falls, NY
- NPI 1679576219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1073227856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 BAY RD STE 101",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128043012",
"telephone_number": "518-932-7234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 BAY RD STE 101",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128043012",
"telephone_number": "518-932-7234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ADIRONDACK FAMILY HEALTH-NP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-06",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "EMERSON",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FNP",
"authorized_official_telephone_number": "518-932-7234",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Adirondack Family Health-NP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Southern Adirondack Family Health-NP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.