Organization Active NPI

Dr Dunham Integrative Family Health NP PLLC

  • Family Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1306497128
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DR DUNHAM INTEGRATIVE FAMILY HEALTH NP PLLC
Practice address
963 Route 146 Ste 1
Clifton Park, NY 12065-3636
Phone
(518) 579-0012
Fax
(949) 577-4231
NPI assigned
Sep 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Authorized official

Name
Dr. Amanda Dunham, DNP, FNP
Title
Owner
Phone
(518) 579-0012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

963 Route 146 Ste 1
Clifton Park, NY 12065-3636

Mailing address

35 United Dr Ste 102
West Bridgewater, MA 02379-1027
Phone (508) 238-8646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1306497128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791027",
            "telephone_number": "508-238-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 ROUTE 146 STE 1",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653636",
            "telephone_number": "518-579-0012",
            "fax_number": "949-577-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DUNHAM INTEGRATIVE FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-579-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.