Emma Therese Donnelly

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F383558-01 Issued in NY

Practice address

725 Irving Ave Ste 804
Syracuse, NY 13210-1612

Phone

(315) 214-7700

Fax

(315) 214-7701

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pediatric Cardiology Associates, LLC

  • Pediatric Cardiology Physician
  • Syracuse, NY
  • NPI 1932258985
  NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1386326148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MELROSE AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132063248",
            "telephone_number": "585-747-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE STE 804",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101612",
            "telephone_number": "315-214-7700",
            "fax_number": "315-214-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "EMMA",
        "middle_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383558-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Marie Donegan, DPT
• Karen Ann Doneger-Roberts, N.P.
• Qun Dong, M.D.
• Jeannine Donigan
• Bridgett Donnelly, LMSW
• Jennifer L Donnelly
• Sara E Donnelly, CNM
• Gail McCue Donnery, NURSE PRACTITIONER
• Antoinette Donofrio
• Clayton Donofrio, CPRA-P

• Pediatric Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.