Active NPI
Desmonique Chanti Homs
- Psychiatric/Mental Health Nurse Practitioner
- Amsterdam, NY
National Provider Identifier
1508419102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402756
- Practice address
- 4988 State Highway 30
Amsterdam, NY 12010-7520 - Phone
- (518) 421-0286
- NPI assigned
- Jul 23, 2019
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402756 | NY | Primary |
Addresses
Primary practice location
4988 State Highway 30
Amsterdam, NY 12010-7520
Mailing address
4988 State Highway 30
Amsterdam, NY 12010-7520
Phone (518) 421-0286
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | desmonique.homs@ascension.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 402756 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Healthcare | Current | Accepting new patients | |
| St. Mary'S Healthcare | Current | Accepting new patients |
Locations
4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100
380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415
427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Amsterdam, NY
- NPI 1518926401
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Amsterdam, NY
- NPI 1700636347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1508419102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4988 STATE HIGHWAY 30",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-421-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4988 STATE HIGHWAY 30",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120107520",
"telephone_number": "518-421-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMS",
"first_name": "DESMONIQUE",
"middle_name": "CHANTI",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402756",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "desmonique.homs@ascension.org",
"affiliation": "N",
"address_1": "4988 State Highway 30",
"city": "Amsterdam",
"state": "NY",
"country_code": "US",
"postal_code": "120107520",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.