Active NPI
Dr Dunham Integrative Family Health NP PLLC
- Family Nurse Practitioner
- Clifton Park, NY
National Provider Identifier
1306497128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryNPI 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.