Sue A Badera, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

333701 Issued in NY

Practice address

1 West Ave Ste 230
Saratoga Springs, NY 12866-6050

Phone

(518) 583-5300

Fax

(518) 583-5300

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Irongate Family Practice Associates PLLC

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1851326326
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1124047642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SMITH RD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028411006",
            "telephone_number": "401-841-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE STE 230",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666050",
            "telephone_number": "518-583-5300",
            "fax_number": "518-583-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADERA",
        "first_name": "SUE",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "333701",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "333701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124047642",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sue.a.badera.ctr@mail.mil",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Military",
            "address_1": "1 West Ave Ste 230",
            "city": "Saratoga Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128666050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathaniel Ayotte, ATC
• Back in Motion Chiropractic PC
• Colleen Backus, PT
• Bader Family Chiropractic, PLLC
• Debra Lee Bader, D.C.
• Melissa Suzanne Bailey
• Anne Patience Baker, MA
• Kimberly Nicole Baker, LCSW-R
• Mary Baker, MS OTR
• Dana C Balassi, DIPL.O.M., L.AC.

• Nurse Practitioner in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.