Individual provider Active NPI

Anne Herlick, FNP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1609891076
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
FNP 331981-1 Issued in NY
Practice address
3009 Broadway
New York, NY 10027-6909
Phone
(212) 854-2091
Fax
(212) 854-2702
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X FNP 331981-1 NY Primary

Addresses

Primary practice location

3009 Broadway
New York, NY 10027-6909

Mailing address

3009 Broadway
New York, NY 10027-6909
Phone (212) 854-2091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219001509 NY Order and Referring Only - Nurse Practitioner 7416926043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
FNP 331981-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Service Past Accepting new patients
Trustees of Columbia University in the City of Ny Past Accepting new patients
Trustees of Columbia University Dept of Obstetrics and Gynecology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1609891076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276909",
            "telephone_number": "212-854-2091",
            "fax_number": "212-854-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276909",
            "telephone_number": "212-854-2091",
            "fax_number": "212-854-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERLICK",
        "first_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "FNP 331981-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.