Amy E Bly, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F336494 Issued in NY

Practice address

84 Broad St
Glens Falls, NY 12801-4381

Phone

(518) 793-9186

NPI assigned

Sep 27, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amyr@adirondackpediatrics.medentdirect.com

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.

• Adirondack Pediatrics, P.C.

  • Health Service Clinic/Center
  • Glens Falls, NY
  • NPI 1285667634
  NPD (past)

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1669781563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 NORTHUP DR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042214",
            "telephone_number": "518-307-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014381",
            "telephone_number": "518-793-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLY",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03274320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna C Bjorkman, LCSW
• Trevor Edward Black, M.D.
• Corrie L Blair, CASAC-T
• Michelle Blesso, PHARMD
• Alexander Robert Blumberg, DPT
• Devon E Bock, MD
• Susan Boggia, AU.D.
• Susan Bogosian, RN
• Rebekah Booth
• Joseph Spencer Bordelon, M.D.

• Family Nurse Practitioner in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.