Deborah Anne Body, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

331877 Issued in NY

Practice address

2445 State Route 30
Tupper Lake, NY 12986-2502

Phone

(518) 554-8087

Fax

(518) 359-4133

NPI assigned

Aug 24, 2005

Last updated

Mar 4, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dbody@hiemail.healtheconnections.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mohawk Glen Radiology Associates of Cny PLLC

  • Diagnostic Radiology Physician
  • Rome, NY
  • NPI 1538466115
  NPD (past)
• Prospect Hill Radiology Group P C

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1235122425
  NPD (past)
• St. Josephs Imaging Associates PLLC

  • Diagnostic Radiology Physician
  • Liverpool, NY
  • NPI 1093709180
  NPD (past)
• State of New York

  • Case Management Agency
  • Tupper Lake, NY
  • NPI 1083899702
  NPD (past)
• State of New York

  • Intellectual Disabilities Intermediate Care Facility
  • Tupper Lake, NY
  • NPI 1205975547
  NPD (past)
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1194718387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 STATE ROUTE 30",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129862502",
            "telephone_number": "518-554-8087",
            "fax_number": "518-359-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 STATE ROUTE 30",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129862502",
            "telephone_number": "518-554-8087",
            "fax_number": "518-359-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODY",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "331877",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "438972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q2620560",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darrell Barber, R.PH
• Rodney G Bashant, PHARMACIST
• Stacie Beccaria, M.S. SPED
• Darci Beiras, M.D.
• Katie A Besig, MA
• Lorraine M Bowman, RN
• Stephanie Cassell, RN
• Rafael Castellanos
• Kristen Nichole Churco, LMT
• Lisa Colbert, RN

• Family Nurse Practitioner in Tupper Lake, NY
• Providers in Tupper Lake, 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 Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.