Tricia R Vivlamore NP Family Health PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

335964 Issued in NY

Legal business name

TRICIA R VIVLAMORE NP FAMILY HEALTH PC

Doing business as

Hometown House Calls

Practice address

249A Washington Blvd.
Oswego, NY 13126

Phone

(315) 297-3896

NPI assigned

Apr 14, 2015

Organization subpart

No

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

Authorized official

Name

Tricia R Vivlamore, NP

Title

Owner

Phone

(315) 297-3896

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hometown House Calls Doing business as

Locations

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

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1154717379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W 3RD ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263959",
            "telephone_number": "315-591-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249A WASHINGTON BLVD.",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-297-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICIA R VIVLAMORE NP FAMILY HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-14",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "VIVLAMORE",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-297-3896",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "335964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03118816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown House Calls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown House Calls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Tourot, MS CAS
• Jenny L Tower, OTA
• Kara Ann Traver, OTR/L
• Destini Travis
• Jade Treby
• McKenzie Tripp
• Janice Ruth Trowbridge, PTA
• Justina Truman
• Caroline Trytek
• Caree Lynne Turck

• Primary Care Clinic/Center in Oswego, NY
• Providers in Oswego, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.