Northern Nurse Practitioners - Family Health PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC

Practice address

19472 US Route 11 Ste N101
Watertown, NY 13601-5387

Phone

(315) 786-1924

Fax

(315) 786-0823

NPI assigned

Apr 27, 2007

Last updated

Sep 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine M O'Brien, FNPNPI 1154330751

Title

President

Phone

(315) 786-1924

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Catherine M O'Brien, FNP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1154330751
  Medicare reassignment Care Compare group NPD Authorized official
• Michaela Duffy McCargar, FNP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1023764487

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Emily Edna McGovern, FNP

  • Family Medicine Physician
  • Watertown, NY
  • NPI 1306510730
  Medicare reassignment Care Compare group NPD
• Rachelle Cassandra Price, FNP

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1326562430
  Medicare reassignment Care Compare group NPD
• Elissa D Townsend, FNP-C

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1629328422
  Medicare reassignment Care Compare group NPD
• Brittaney Hegard, NP

  • Family Nurse Practitioner
  • East Syracuse, NY
  • NPI 1548742315
  Medicare reassignment NPD
• Phyl McClure, FNP-BC

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1194107086
  Medicare reassignment NPD
• Ashley Swan, MSN,FNP-C

  • Nurse Practitioner
  • Watertown, NY
  • NPI 1811505738

  Family

  Medicare reassignment NPD
• Chelsea S Lockerbie, FNP-C

  • Family Nurse Practitioner
  • Watertown, NY
  • NPI 1851812911
  Medicare reassignment

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1114147311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19472 US ROUTE 11 STE N101",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015387",
            "telephone_number": "315-786-1924",
            "fax_number": "315-786-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19472 US ROUTE 11 STE N101",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015387",
            "telephone_number": "315-786-1924",
            "fax_number": "315-786-0823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-786-1924",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBCC",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Watertown, NY
• Providers in Watertown, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.

Verify at the official NPI Registry.