Individual provider Active NPI

Leigh Anne Farry, NP

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1275739468
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336625 Issued in NY
Practice address
43 New Scotland Avenue
MC 73
Albany, NY 12144
Phone
(518) 262-1433
Fax
(518) 262-0135
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336625 NY Primary

Addresses

Primary practice location

43 New Scotland Avenue
MC 73
Albany, NY 12144

Mailing address

43 New Scotland Avenue
MC 73
Albany, NY 12208
Phone (518) 262-1433

Other identifiers 1

IdentifierTypeStateIssuer
03767562MedicaidNY

Other names 1

  • Mrs. Leigh Anne Buzzell Former name

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
I20160816002694 NY Order and Referring Only - Nurse Practitioner 1355636259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
336625NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lfarry24413@albanymed.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1275739468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVENUE",
            "address_2": "MC 73",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-1433",
            "fax_number": "518-262-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVENUE",
            "address_2": "MC 73",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12144",
            "telephone_number": "518-262-1433",
            "fax_number": "518-262-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRY",
        "first_name": "LEIGH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03767562",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIGH",
            "last_name": "BUZZELL",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.