NPIMap

Organization Active NPI

Donnelly & Oot Family Nurse Practitioners

  • Family Nurse Practitioner
  • East Syracuse, NY
National Provider Identifier
1669418190
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DONNELLY & OOT FAMILY NURSE PRACTITIONERS
Practice address
5900 N Burdick St
Suite 207
East Syracuse, NY 13057-9462
Phone
(315) 656-8999
Fax
(315) 656-8877
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Oot, FNPNPI 1023048048
Title
Owner
Phone
(315) 656-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5900 N Burdick St
Suite 207
East Syracuse, NY 13057-9462

Mailing address

5900 N Burdick St
Suite 207
East Syracuse, NY 13057-9462
Phone (315) 656-8999

National Provider Directory

National Provider Directory

Locations

5900 N Burdick St
Ste 207
East Syracuse, NY 13057
Phone (315) 656-3515

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669418190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST",
            "address_2": "SUITE 207",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579462",
            "telephone_number": "315-656-8999",
            "fax_number": "315-656-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST",
            "address_2": "SUITE 207",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579462",
            "telephone_number": "315-656-8999",
            "fax_number": "315-656-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELLY & OOT FAMILY NURSE PRACTITIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OOT",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-656-8999",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.