Ferndale Adult Health N.P. PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F300412 Issued in NY

Legal business name

FERNDALE ADULT HEALTH N.P. PLLC

Practice address

653 Harris Rd
Ferndale, NY 12734-5134

Phone

(845) 292-1200

Fax

(845) 292-1303

NPI assigned

Dec 30, 2006

Organization subpart

No

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

Authorized official

Name

Linda Rene Thompson, NP

Title

Owner

Phone

(845) 292-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1508922741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 HARRIS RD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345134",
            "telephone_number": "845-292-1200",
            "fax_number": "845-292-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 HARRIS RD",
            "city": "FERNDALE",
            "state": "NY",
            "postal_code": "127345134",
            "telephone_number": "845-292-1200",
            "fax_number": "845-292-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNDALE ADULT HEALTH N.P. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-292-1200",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ferndale, NY
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.