Active NPI
Amy B Haver, FNP
- Family Nurse Practitioner
- Utica, NY
National Provider Identifier
1497716682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F320032-1
- Practice address
- 2211 Genesee St
Suite 200
Utica, NY 13501-5930 - Phone
- (315) 733-7598
- Fax
- (315) 733-7694
- NPI assigned
- Mar 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F320032-1 | NY | Primary |
Addresses
Primary practice location
2211 Genesee St
Suite 200
Utica, NY 13501-5930
Mailing address
2211 Genesee St
Suite 200
Utica, NY 13501-5930
Phone (315) 733-7598
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02742730 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F320032-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central New York Cardiology, PC | Family | Current | Accepting new patients |
Locations
601 State St
Ste 200
Utica, NY 13502
Phone (315) 733-7598
2211 Genesee St
Ste 200
Utica, NY 13501
Phone (315) 733-7598
Interoperability endpoints
- ahaver@cnycardiology.medentdirect.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": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288828800000",
"number": "1497716682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 GENESEE ST",
"address_2": "SUITE 200",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-733-7598",
"fax_number": "315-733-7694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 GENESEE ST",
"address_2": "SUITE 200",
"city": "UTICA",
"state": "NY",
"postal_code": "135015930",
"telephone_number": "315-733-7598",
"fax_number": "315-733-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVER",
"first_name": "AMY",
"middle_name": "B",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-29",
"last_updated": "2010-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F320032-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02742730",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.