Individual provider Active NPI

Amber A Lashway, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Ellenburg Depot, NY
National Provider Identifier
1073510236
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334665-1 Issued in NY
Practice address
882 Irona Rd
Ellenburg Depot, NY 12935-3023
Phone
(518) 594-8825
NPI assigned
Jul 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F334665-1 NY Primary

Addresses

Primary practice location

882 Irona Rd
Ellenburg Depot, NY 12935-3023

Mailing address

882 Irona Rd
Ellenburg Depot, NY 12935-3023
Phone (518) 594-8825

Other identifiers 1

IdentifierTypeStateIssuer
F334665-1OtherNYNURSE PRACTITIONER IN FAM

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
F334665-1NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1073510236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 IRONA RD",
            "city": "ELLENBURG DEPOT",
            "state": "NY",
            "postal_code": "129353023",
            "telephone_number": "518-594-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 IRONA RD",
            "city": "ELLENBURG DEPOT",
            "state": "NY",
            "postal_code": "129353023",
            "telephone_number": "518-594-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHWAY",
        "first_name": "AMBER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-02",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334665-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER IN FAM",
            "identifier": "F334665-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenburg Depot, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.