Active NPI
Audrey Pamella Hoover, FNP
- Family Nurse Practitioner
- New York, NY
National Provider Identifier
1306014998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F331735-1
- Practice address
- 41 Park Row
Ste. 313
New York, NY 10038-1508 - Phone
- (212) 346-1600
- Fax
- (212) 346-1308
- NPI assigned
- Feb 15, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F331735-1 | NY | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | F331735-1 | NY |
Addresses
Primary practice location
41 Park Row
Ste. 313
New York, NY 10038-1508
Mailing address
940 Grand Concourse
#5K
Bronx, NY 10451-2724
Phone (646) 541-4765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94N841 | Other | NY | MEDICARE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331735-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1306014998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 GRAND CONCOURSE",
"address_2": "#5K",
"city": "BRONX",
"state": "NY",
"postal_code": "104512724",
"telephone_number": "646-541-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PARK ROW",
"address_2": "STE. 313",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100381508",
"telephone_number": "212-346-1600",
"fax_number": "212-346-1308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOVER",
"first_name": "AUDREY",
"middle_name": "PAMELLA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-15",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F331735-1",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F331735-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "94N841",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.