Lucille Diana McDermott

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

330606 Issued in NY

Practice address

943 US Highway 20
West Winfield, NY 13491-1920

Phone

(315) 822-3200

Fax

(315) 822-5193

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arul & Arul Inc

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1811201601
  NPD (past)
• Central Leatherstocking Medical, PLLC

  • Family Medicine Physician
  • West Winfield, NY
  • NPI 1578585014
  NPD (past)
• Mohawk Valley Surgical Associates PLLC

  • Surgery Physician
  • Utica, NY
  • NPI 1669555900
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609890516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 US HIGHWAY 20",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134911920",
            "telephone_number": "315-822-3200",
            "fax_number": "315-822-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 US HIGHWAY 20",
            "city": "WEST WINFIELD",
            "state": "NY",
            "postal_code": "134911920",
            "telephone_number": "315-822-3200",
            "fax_number": "315-822-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "LUCILLE",
        "middle_name": "DIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "330606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02648180",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gennifer Pole Kalies, M.S. CCC-SLP
• Donald Bruce Knapp, O.D.
• Ruth Ann Kurdziolek, RN
• Stephanie M Land, LPN
• Little Falls Hospital (Little Falls Hospital West Winfield Health Center)
• Michelle Johnston MD
• Sean J. Murphy, DPT
• Tina M Ondrako, COTA/L
• Deborah Ann Plungis, LPN
• Barbara Rodriguez, NP

• Family Nurse Practitioner in West Winfield, NY
• Providers in West Winfield, NY by specialty
• Family Nurse Practitioner in New York

• 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.