Individual provider Active NPI

Jaclyn A Farrington, FNP

  • Family Nurse Practitioner
  • Canton, NY
National Provider Identifier
1093593485
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F352752 Issued in NY
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

Updated by the provider on Jul 7, 2026

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 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

IdentifierTypeStateIssuer
07843089MedicaidNY

Other names 1

  • Jaclyn A Latourelle Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231118000355 NY Practitioner - Nurse Practitioner 2769830488 Reassigns benefits to 1 organization

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
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

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

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center Family CurrentSince Dec 1, 2024 Accepting new patients
Adirondack Medical Center CurrentSince Dec 1, 2024 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.