Active NPI
Barbara Loucks, ANP
- Family Nurse Practitioner
- Amsterdam, NY
National Provider Identifier
1205944865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F300270
- Practice address
- 4988 State Highway 30
Amsterdm Family Health Center
Amsterdam, NY 12010-7520 - Phone
- (518) 843-5793
- Fax
- (518) 843-6513
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F300270 | NY | Primary |
Addresses
Primary practice location
4988 State Highway 30
Amsterdm Family Health Center
Amsterdam, NY 12010-7520
Mailing address
4988 State Highway 30
Amsterdm Family Health Center
Amsterdam, NY 12010-7520
Phone (518) 843-5793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602956 | Other | NY | MVP HEALTHPLAN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300270 | NY | MD | Licensed Practical Nurse |
| F300270 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael M. Sheridan,D.O. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Amsterdam, NY
- NPI 1811189467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1205944865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4988 STATE HIGHWAY 30",
"address_2": "AMSTERDM FAMILY HEALTH CENTER",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-843-5793",
"fax_number": "518-843-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4988 STATE HIGHWAY 30",
"address_2": "AMSTERDM FAMILY HEALTH CENTER",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-843-5793",
"fax_number": "518-843-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUCKS",
"first_name": "BARBARA",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F300270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHPLAN",
"identifier": "602956",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.