Individual provider Active NPI

Deborah M. Macsherry, CFNP

  • Nurse Practitioner
  • Alexandria Bay, NY
National Provider Identifier
1669407300
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
335352 Issued in NY
Practice address
4 Fuller Street
Alexandria Bay, NY 13607-0000
Phone
(315) 482-1230
Fax
(315) 482-4981
NPI assigned
Jul 11, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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 335352 NY Primary

Addresses

Primary practice location

4 Fuller Street
Alexandria Bay, NY 13607-0000

Mailing address

4 Fuller Street
Alexandria Bay, NY 13607-0000
Phone (315) 482-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Internal Medicine Assoc LLP Past Accepting new patients

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1669407300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FULLER STREET",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136070000",
            "telephone_number": "315-482-1230",
            "fax_number": "315-482-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FULLER STREET",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136070000",
            "telephone_number": "315-482-1230",
            "fax_number": "315-482-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACSHERRY",
        "first_name": "DEBORAH",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "335352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria Bay, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.