Pamela Lusignan, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F301311 Issued in NY

Practice address

13 Palmer Ave
Evergreen Health Center
Corinth, NY 12822-1145

Phone

(518) 654-6499

Fax

(518) 654-7303

NPI assigned

Jul 30, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1619982436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-654-6499",
            "fax_number": "518-654-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PALMER AVE",
            "address_2": "EVERGREEN HEALTH CENTER",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221145",
            "telephone_number": "518-654-6499",
            "fax_number": "518-654-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSIGNAN",
        "first_name": "PAMELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02327728",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J400008218",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00812472",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajani Joshi, MD
• Joshua Herzlinger DDS PLLC
• David Karandy, MD
• Megan King, FNP-BC
• Carl A Lawrence, RPH
• Dominick Carl Marchesiello III, PT, DPT
• Meyer, Malin and Associates PLLC
• Michael Nolan DDS
• Lori J Mosher, RPH
• Jenelle Donzelli Nemeth, BSN, RN, IBCLC

• All providers in Corinth, NY
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.