Active NPI
Theresa Vonhassel, APRN, NP
- Family Nurse Practitioner
- Oneonta, NY
National Provider Identifier
1508954488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 331368
- Practice address
- 189 Main St
Suite 203
Oneonta, NY 13820-3510 - Phone
- (607) 436-9030
- Fax
- (607) 436-9031
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 400713 | NY | |
| Family Nurse Practitioner | 363LF0000X | 331368 | NY | Primary |
Addresses
Primary practice location
189 Main St
Suite 203
Oneonta, NY 13820-3510
Mailing address
373 Sawyer Hollow Rd
Summit, NY 12175-1922
Phone (518) 287-1147
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7339740 | Other | NY | GHI |
| 475672 | Other | NY | VALUE OPTIONS |
| 02369446 | Medicaid | NY | |
| ME987450 | Other | NY | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331368 | NY | MD | Pediatrics Physician |
| 400713 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1508954488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 SAWYER HOLLOW RD",
"city": "SUMMIT",
"state": "NY",
"postal_code": "121751922",
"telephone_number": "518-287-1147",
"fax_number": "518-287-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 MAIN ST",
"address_2": "SUITE 203",
"city": "ONEONTA",
"state": "NY",
"postal_code": "138203510",
"telephone_number": "607-436-9030",
"fax_number": "607-436-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONHASSEL",
"first_name": "THERESA",
"credential": "APRN, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "400713",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "331368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7339740",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "475672",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02369446",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "ME987450",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oneonta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.