Active NPI
Esther Colene O'Neill, A.N.P.
- Adult Health Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1164441499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F300767
- Practice address
- Broad Rd
Syracuse, NY 13215-5100 - Phone
- (315) 492-5635
- Fax
- (315) 492-5633
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F300767 | NY | Primary |
Addresses
Primary practice location
Broad Rd
Syracuse, NY 13215-5100
Mailing address
140 Winchell Dr
Syracuse, NY 13209-1446
Phone (315) 487-2238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F300767 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164441499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WINCHELL DR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132091446",
"telephone_number": "315-487-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROAD RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132155100",
"telephone_number": "315-492-5635",
"fax_number": "315-492-5633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "ESTHER",
"middle_name": "COLENE",
"name_prefix": "Ms.",
"credential": "A.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.