Individual provider Active NPI

Daniela Marion Puorto, CPNP-PC

  • Pediatric Nurse Practitioner
  • Albany, NY
National Provider Identifier
1265144026
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383514 Issued in NY
Practice address
920 Lark Dr
Albany, NY 12207-1300
Phone
(518) 465-4771
NPI assigned
Dec 22, 2022
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383514 NY Primary

Addresses

Primary practice location

920 Lark Dr
Albany, NY 12207-1300

Mailing address

920 Lark Dr
Albany, NY 12207-1300
Phone (518) 465-4771

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230223002809 NY Practitioner - Nurse Practitioner 1254704182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
383514NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney M. Young, Jr. Health Center, Inc. CurrentSince Jan 20, 2023 Accepting new patients
Whitney M. Young, Jr. Health Center, Inc. Current Accepting new patients
Whitney M Young Jr Health Center Inc CurrentSince Jan 20, 2023 Accepting new patients
Whitney M. Young, Jr. Health Center, Inc. Past Accepting new patients
Whitney M. Young Jr. Health Center, Inc. Past Accepting new patients

Locations

920 Lark Dr
Albany, NY 12207
Phone (518) 427-0102

Interoperability endpoints

  • Direct secure messaging: daniela.puorto.1@22063.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1265144026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 LARK DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071300",
            "telephone_number": "518-465-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 LARK DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071300",
            "telephone_number": "518-465-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUORTO",
        "first_name": "DANIELA",
        "middle_name": "MARION",
        "name_prefix": "Miss",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.