Active NPI
Jaclyn A Farrington, FNP
- Family Nurse Practitioner
- Canton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F352752
- Practice address
- 80 E Main St Ste 2a
Canton, NY 13617-1450 - Phone
- (315) 714-2559
- Fax
- (315) 386-3056
- NPI assigned
- Sep 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F352752 | NY | Primary |
Addresses
Primary practice location
80 E Main St Ste 2a
Canton, NY 13617-1450
Mailing address
100 Metropolitan Park Dr Ste 100
Liverpool, NY 13088-7112
Phone (315) 870-9369
Other practice location 1
2249 State Route 86 Ste 3
Saranac Lake, NY 12983-5646
Phone (518) 891-3845
Other practice location 2
87 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone (518) 536-7060
Other practice location 3
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 897-2515
Other practice location 4
7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7222
Other practice location 5
2249 Ny-86
Suite 3
Saranac Lake, NY 12983
Phone (518) 891-3845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07843089 | Medicaid | NY |
Other names 1
- Jaclyn A Latourelle
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jaclyn.farrington.1@1823.direct.athenahealth.com | ||
| Direct Messaging Address | jaclyn.farrington.1@1823.direct.athenahealth.com | ||
| Direct Messaging Address | jaclyn.farrington.1@1823.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adirondack Medical Center | Family | Current | Accepting new patients |
| Adirondack Medical Center | Current | Accepting new patients | |
| Associated Medical Professionals of Ny, PLLC | Past | Accepting new patients |
Locations
2249 State Route 86
Ste 3
Saranac Lake, NY 12983
Phone (518) 891-3845
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Saranac Lake, NY
- NPI 1871359000
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1093593485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 METROPOLITAN PARK DR STE 100",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130887112",
"telephone_number": "315-870-9369",
"fax_number": "315-870-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 E MAIN ST STE 2A",
"city": "CANTON",
"state": "NY",
"postal_code": "136171450",
"telephone_number": "315-714-2559",
"fax_number": "315-386-3056"
}
],
"practiceLocations": [
{
"address_1": "2249 State Route 86 Ste 3",
"address_purpose": "LOCATION",
"city": "Saranac Lake",
"state": "NY",
"postal_code": "129835646",
"country_code": "US",
"telephone_number": "518-891-3845",
"fax_number": "518-891-1236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "87 Plaza Blvd",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129016438",
"country_code": "US",
"telephone_number": "518-536-7060",
"fax_number": "518-536-7075",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2233 State Route 86",
"address_purpose": "LOCATION",
"city": "Saranac Lake",
"state": "NY",
"postal_code": "129835644",
"country_code": "US",
"telephone_number": "518-897-2515",
"fax_number": "518-897-2535",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Stetson Rd",
"address_purpose": "LOCATION",
"city": "Tupper Lake",
"state": "NY",
"postal_code": "129862014",
"country_code": "US",
"telephone_number": "518-359-7222",
"fax_number": "518-359-7664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2249 NY-86",
"address_2": "Suite 3",
"address_purpose": "LOCATION",
"city": "Saranac Lake",
"state": "NY",
"postal_code": "12983",
"country_code": "US",
"telephone_number": "518-891-3845",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARRINGTON",
"first_name": "JACLYN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-18",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F352752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07843089",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn.farrington.1@1823.direct.athenahealth.com",
"affiliation": "N",
"address_1": "7 Stetson Rd",
"city": "Tupper Lake",
"state": "NY",
"country_code": "US",
"postal_code": "129862014",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn.farrington.1@1823.direct.athenahealth.com",
"affiliation": "N",
"address_1": "2249 State Route 86 Ste 3",
"city": "Saranac Lake",
"state": "NY",
"country_code": "US",
"postal_code": "129835646",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jaclyn.farrington.1@1823.direct.athenahealth.com",
"affiliation": "N",
"address_1": "87 Plaza Blvd",
"city": "Plattsburgh",
"state": "NY",
"country_code": "US",
"postal_code": "129016438",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JACLYN",
"last_name": "LATOURELLE",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.