Peggy Dwyer, NP ADULT HEALTH

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F300527-1 Issued in NY

Practice address

147 Hoosick St
Seton Specialty Services
Troy, NY 12180-2393

Phone

(518) 268-5380

Fax

(518) 268-5801

NPI assigned

Apr 21, 2006

Last updated

Feb 9, 2017By 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16479/brand/1/csg/1/fhir/r4

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.

• Community Care Physicians, PC

  • Family Medicine Physician
  • Albany, NY
  • NPI 1811946775
  NPD (past)
• Community Care Physicians, PLLC

  dba Community Care Family Practice Ballston Spa

  • Family Medicine Physician
  • Ballston Spa, NY
  • NPI 1548541246
  NPD (past)
• Northeast Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Salem, NH
  • NPI 1922199348
  NPD (past)
• Parkland Physician Services, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Derry, NH
  • NPI 1144388737
  NPD (past)
• Pinnacle Personalized Healthcare, PLLC

  • Family Medicine Physician
  • Salem, NH
  • NPI 1609312644
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1194781930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "address_2": "ST. PETER'S HEALTH PARTNERS PAYER CREDENTIALING",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 HOOSICK ST",
            "address_2": "SETON SPECIALTY SERVICES",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802393",
            "telephone_number": "518-268-5380",
            "fax_number": "518-268-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "PEGGY",
        "credential": "NP ADULT HEALTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "045554-23",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300527-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01011573",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30340278",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Ann Dunn, LMHC-D
• Monica Chura Durivage, RPA-C
• Garry Durosier, MD
• Staci M Dury, LMSW
• Karen Marie Ray Dwyer, SLP
• Dynamic Dental Services
• Amy Louise Earshen, MD
• East Hudson Oral and Maxillofacial Surgery, PLLC
• Erin Easter, LPN
• Jeidga Cherie Ebanks, LPN

• Adult Health Nurse Practitioner in Troy, NY
• Providers in Troy, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.