Southern Tier Family Nurse Practitioner Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES

Practice address

520 Columbia Dr Ste 203
Johnson City, NY 13790-3305

Phone

(607) 677-0011

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Daniel Babcock, FNP-CNPI 1285290460

Title

Owner

Phone

(607) 677-0011

Specialties & licenses 2

Addresses

Other names 1

• Southern Tier Family Nurse Practitioner Services Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Babcock, FNP

  • Family Nurse Practitioner
  • Norwich, NY
  • NPI 1285290460
  NPD Authorized official

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1396492369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COLUMBIA DR STE 203",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903305",
            "telephone_number": "607-677-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COLUMBIA DR STE 203",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903305",
            "telephone_number": "607-677-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER FAMILY NURSE PRACTITIONER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-677-0011",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Tier Family Nurse Practitioner Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas William Sorber
• Southern New York Neurosurgical Group PC
• Southern New York Physical Therapy & Chiropractic, PLLC
• Southern Tier AIDS Program, Inc.
• Southern Tier Chiropractic PLLC
• Southern Tier Physical Therapy of Johnson City
• Southern Tier Pulmonary & Critical Care Medicine LLC
• Southern Tier Special Needs Resources LLC
• Southern Tier Surgery Center LLC
• Southern Tier Surgical PLLC

• Primary Care Clinic/Center in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.