Individual provider Active NPI

Joanne Hirst, ANP

  • Adult Health Nurse Practitioner
  • Canajoharie, NY
National Provider Identifier
1528069572
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301996-1 Issued in NY
Practice address
101 W Main St
St. Mary'S Family Health Ctr. at Canajoharie
Canajoharie, NY 13317-1114
Phone
(518) 673-2573
Fax
(518) 673-2781
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F301996-1 NY Primary

Addresses

Primary practice location

101 W Main St
St. Mary'S Family Health Ctr. at Canajoharie
Canajoharie, NY 13317-1114

Mailing address

St. Mary'S Hospital at Amsterdam
427 Guy Park Avenue - Primary Care
Amsterdam, NY 12010-1054
Phone (518) 841-7430

Other identifiers 1

IdentifierTypeStateIssuer
02327282MedicaidNY

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F301996-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528069572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ST. MARY'S HOSPITAL AT AMSTERDAM",
            "address_2": "427 GUY PARK AVENUE - PRIMARY CARE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101054",
            "telephone_number": "518-841-7430",
            "fax_number": "518-841-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "address_2": "ST. MARY'S FAMILY HEALTH CTR. AT CANAJOHARIE",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171114",
            "telephone_number": "518-673-2573",
            "fax_number": "518-673-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRST",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301996-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02327282",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canajoharie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.