Individual provider Active NPI

Theresa Lynn Outman, FNP-C

  • Family Nurse Practitioner
  • Oneonta, NY
National Provider Identifier
1619384328
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338998 Issued in NY
Practice address
125 Main St
Oneonta Pediatrics
Oneonta, NY 13820-2507
Phone
(607) 433-6511
Fax
(607) 433-6608
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338998 NY Primary

Addresses

Primary practice location

125 Main St
Oneonta Pediatrics
Oneonta, NY 13820-2507

Mailing address

125 Main St
Oneonta Pediatrics
Oneonta, NY 13820-2507
Phone (607) 433-6511

Other practice location 1

4417 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 797-1251

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
I20151012001025 NY Practitioner - Nurse Practitioner 7012226137 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338998NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Aug 3, 2015 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 3, 2015 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Oct 21, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Feb 26, 2024 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Oct 21, 2024 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. Current Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

161 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6176

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

1302 E Main St
Endicott, NY 13760
Phone (607) 754-7171

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

125 Main St
Oneonta, NY 13820
Phone (607) 433-1790

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: toutman218069@direct-guthrie.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1619384328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "address_2": "ONEONTA PEDIATRICS",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202507",
            "telephone_number": "607-433-6511",
            "fax_number": "607-433-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "address_2": "ONEONTA PEDIATRICS",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202507",
            "telephone_number": "607-433-6511",
            "fax_number": "607-433-6608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4417 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138503556",
            "country_code": "US",
            "telephone_number": "607-797-1251",
            "fax_number": "607-729-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTMAN",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.