Individual provider Active NPI

Amy M Meehan, NP

  • Pediatric Nurse Practitioner
  • Albany, NY
National Provider Identifier
1326728676
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383585 Issued in NY
Practice address
22 New Scotland Ave
Albany, NY 12208-3795
Phone
(518) 262-8831
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383585 NY Primary

Addresses

Primary practice location

22 New Scotland Ave
Albany, NY 12208-3795

Mailing address

14B Lacosta Dr
Clifton Park, NY 12065-1255
Phone (518) 879-3447

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
I20231024002401 NY Practitioner - Nurse Practitioner 4284080466 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
383585NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Sep 17, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Sep 17, 2023 Accepting new patients
Albany Medical College CurrentSince Sep 17, 2023 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

22 New Scotland Ave
#88
Albany, NY 12208
Phone (518) 262-5332

22 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5333

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

250 Delaware Ave
Ste 202
Delmar, NY 12054
Phone (518) 264-0701

101 Jordan Rd
Ste 201
Troy, NY 12180
Phone (518) 264-1180

Interoperability endpoints

  • Direct secure messaging: ameehan33925@albanymed.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1326728676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14B LACOSTA DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651255",
            "telephone_number": "518-879-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083795",
            "telephone_number": "518-262-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHAN",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.