Individual provider Active NPI

Amy Kristine Thurston, MSN, CPNP-PC, RN

  • Pediatric Nurse Practitioner
  • Flushing, NY
National Provider Identifier
1447903539
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F383237-01 Issued in NY
Practice address
15715 46TH Ave
Flushing, NY 11355-2353
Phone
(718) 445-3029
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 F383237-01 NY Primary

Addresses

Primary practice location

15715 46TH Ave
Flushing, NY 11355-2353

Mailing address

3333 Broadway Apt B18D
New York, NY 10031-8728
Phone (303) 241-4780

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL doctordesai.com

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
I20240318002796 NY Order and Referring Only - Nurse Practitioner 5092152751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F383237-01NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brena M Desai Pediatrician PC CurrentSince Jan 4, 2026 Accepting new patients

Locations

15715 46th Ave
Flushing, NY 11355
Phone (718) 445-3029

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: athurston1499409@nychhc.direct-ci.com
  • Direct secure messaging: amy.thurston.1@24989.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1447903539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BROADWAY APT B18D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318728",
            "telephone_number": "303-241-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 46TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552353",
            "telephone_number": "718-445-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSTON",
        "first_name": "AMY",
        "middle_name": "KRISTINE",
        "credential": "MSN, CPNP-PC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F383237-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "doctordesai.com",
            "affiliation": "N",
            "address_1": "15715 46th Ave",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113552353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.