Amber Ackerman

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

267123 Issued in NY

Practice address

1103 Fort Hunter Rd
Schenectady, NY 12303-4563

Phone

(518) 878-8502

NPI assigned

Dec 29, 2016

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 names 1

• Amber Odonnell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1669917670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FORT HUNTER RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 FORT HUNTER RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123034563",
            "telephone_number": "518-878-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "267123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "ODONNELL",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sinan J Abdullah, DDS
• Olakunle Abiola
• Saddam Saleh Abisse, MD
• Alan Abocejo
• Daniel Joseph Abreu Jr., MS CRC LMHC
• Action Transportation, Inc.
• Michael A Adamec, DC
• Aiyana Jasmine Adams, MHC-LP
• Jamie Adams, NP
• Morgan Glenn Adams

• All providers in Schenectady, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.