Individual provider Active NPI

Linda Selby, F.N.P.

  • Family Nurse Practitioner
  • Amsterdam, NY
National Provider Identifier
1639165251
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333031 Issued in NY
Practice address
119 Holland Circle Dr
Amsterdam, NY 12010-7550
Phone
(518) 843-4522
Fax
(518) 843-8306
NPI assigned
Sep 20, 2005
Last updated
Feb 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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 F333031 NY Primary

Addresses

Primary practice location

119 Holland Circle Dr
Amsterdam, NY 12010-7550

Mailing address

119 Holland Circle Dr
Amsterdam, NY 12010-7550
Phone (518) 843-4522

Other identifiers 1

IdentifierTypeStateIssuer
02328632MedicaidNY

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
I20050302000092 NY Practitioner - Nurse Practitioner 9537112578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carondelet Regional Medical PCGroup PAC ID 0840554051, 16 clinicians

Practice addresses (Care Compare)

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010-7550
Phone (518) 843-6914

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333031NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carondelet Regional Medical, PC CurrentSince Apr 1, 2024 Accepting new patients
Amsterdam Memorial Hospital Past Accepting new patients

Locations

119 Holland Circle Dr
Amsterdam, NY 12010
Phone (518) 843-4522

119 Holland Circle Dr
Unit C
Amsterdam, NY 12010
Phone (518) 843-6914

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1639165251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107550",
            "telephone_number": "518-843-4522",
            "fax_number": "518-843-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HOLLAND CIRCLE DR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107550",
            "telephone_number": "518-843-4522",
            "fax_number": "518-843-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELBY",
        "first_name": "LINDA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02328632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.