Active NPI
Nicole M O'Brien Nurse Practitioner in Family Health PLLC
- Nurse Practitioner
- Halfmoon, NY
National Provider Identifier
1497591523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- NICOLE M O'BRIEN NURSE PRACTITIONER IN FAMILY HEALTH PLLC
- Practice address
- 1520 Route 9
Halfmoon, NY 12065-5669 - Phone
- (518) 371-7723
- Fax
- (518) 482-2110
- NPI assigned
- Jul 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole M O'Brien, FNP-BC, DCNP
- Title
- FNP-BC, DCNP/Owner
- Phone
- (518) 588-4222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1520 Route 9
Halfmoon, NY 12065-5669
Mailing address
1520 Route 9
Halfmoon, NY 12065-5669
Phone (518) 371-7723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1520 Route 9
Ste 1
Halfmoon, NY 12065
1520 Route 9
Halfmoon, NY 12065
Phone (518) 371-7723
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Halfmoon, NY
- NPI 1699325654
-
- Dermatology Physician
- Clifton Park, NY
- NPI 1770558652
-
- Family Nurse Practitioner
- Latham, NY
- NPI 1821193806
-
- Critical Care Medicine (Internal Medicine) Physician
- Clifton Park, NY
- NPI 1568547669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1497591523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 ROUTE 9",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120655669",
"telephone_number": "518-371-7723",
"fax_number": "518-482-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 ROUTE 9",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120655669",
"telephone_number": "518-371-7723",
"fax_number": "518-482-2110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICOLE M O'BRIEN NURSE PRACTITIONER IN FAMILY HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "O'BRIEN",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FNP-BC, DCNP/OWNER",
"authorized_official_telephone_number": "518-588-4222",
"authorized_official_credential": "FNP-BC, DCNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.