Nancy S. Kemp, FNP – Family Nurse Practitioner

Key facts

NPI: 1528027562
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: F330082-1 (NY)
Practice address: 29 N Chemung St
Waverly, NY 14892-1211
Phone: (670) 565-9975
Fax: (607) 565-2683
NPI assigned: Mar 20, 2006
Sex: Female
Sole proprietor: No

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.

Guthrie Medical Group, P.C. Family Medicine Physician · Troy, PA · NPI 1376592493

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
F330082-1	NY	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Guthrie Medical Group, P.C.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	F330082-1	NY	Yes

Addresses

Primary practice location

29 N Chemung St
Waverly, NY 14892-1211

Mailing address

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

Other identifiers

Identifier	Type	State	Issuer
500019063	Other	NY	RR MEDICARE PIN
CC8362	Other	NY	RR MEDICARE GROUP

Other providers in Waverly, NY

All providers in Waverly, NY · Family Nurse Practitioner in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.