Organization Active NPI

Adirondack Nurse Practitioner in Adult Health, PC

  • Clinic/Center
  • Clifton Park, NY
National Provider Identifier
1104799964
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ADIRONDACK NURSE PRACTITIONER IN ADULT HEALTH, PC
Practice address
634 Plank Rd Ste 103
Clifton Park, NY 12065-4881
Phone
(518) 350-8444
Fax
(518) 350-8441
NPI assigned
Sep 27, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Karie Deming, NURSE PRACTITIONERNPI 1740297548
Title
Owner
Phone
(518) 350-8444

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

634 Plank Rd Ste 103
Clifton Park, NY 12065-4881

Mailing address

634 Plank Rd Ste 103
Clifton Park, NY 12065-4881
Phone (518) 350-8444

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2333270Adirondack Nurse Practitioner in Adult Health PC634 Plank Rd, Suite 103, Clifton Park, NY 12065Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

634 Plank Rd
Ste 103
Clifton Park, NY 12065
Phone (518) 350-8444

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1104799964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PLANK RD STE 103",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654881",
            "telephone_number": "518-350-8444",
            "fax_number": "949-864-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 PLANK RD STE 103",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654881",
            "telephone_number": "518-350-8444",
            "fax_number": "518-350-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK NURSE PRACTITIONER IN ADULT HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-27",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "DEMING",
        "authorized_official_first_name": "KARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-350-8444",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.