Individual provider Active NPI

Kathleen Mary Emerson, FNP

  • Family Nurse Practitioner
  • Queensbury, NY
National Provider Identifier
1326523176
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343121 Issued in NY
Practice address
375 Bay Rd Ste 101
Queensbury, NY 12804-3010
Phone
(518) 932-7234
Fax
(518) 480-3062
NPI assigned
Sep 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 343121 NY Primary

Addresses

Primary practice location

375 Bay Rd Ste 101
Queensbury, NY 12804-3010

Mailing address

375 Bay Rd Ste 101
Queensbury, NY 12804-3010
Phone (518) 932-7234

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
I20181107000449 NY Practitioner - Nurse Practitioner 6305909474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Southern Adirondack Family Health-NP PLLCGroup PAC ID 5092170068, 2 clinicians

Practice addresses (Care Compare)

375 Bay Rd
Suite 101
Queensbury, NY 12804-3012
Phone (518) 932-7234

Hospital & facility affiliations

  • Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Adirondack Family Health-NP, PLLC Single Specialty CurrentSince Apr 3, 2023 Accepting new patients

Locations

375 Bay Rd
Ste 101
Queensbury, NY 12804
Phone (518) 793-4910

Interoperability endpoints

  • Direct secure messaging: kathleenemerson@safh.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1326523176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BAY RD STE 101",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043010",
            "telephone_number": "518-932-7234",
            "fax_number": "518-480-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BAY RD STE 101",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043010",
            "telephone_number": "518-932-7234",
            "fax_number": "518-480-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "KATHLEEN",
        "middle_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.