Jodi Conlan Nurse Practitioner in Gerontology PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

JODI CONLAN NURSE PRACTITIONER IN GERONTOLOGY PLLC

Doing business as

Restful Solutions

Practice address

4780 Duanesburg Rd Ste 102
Duanesburg, NY 12056-3422

Phone

(518) 461-1374

NPI assigned

Jul 17, 2024

Last updated

Jul 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodi Conlan, NP-CNPI 1669998472

Title

Nurse Practitioner

Phone

(518) 461-1374

Specialties & licenses 1

Addresses

Other names 1

• Restful Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodi Marie Conlan, NP

  • Nurse Practitioner
  • Duanesburg, NY
  • NPI 1669998472
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1679311393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 DUANESBURG RD STE 102",
            "city": "DUANESBURG",
            "state": "NY",
            "postal_code": "120563422",
            "telephone_number": "518-299-5007",
            "fax_number": "518-510-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 DUANESBURG RD STE 102",
            "city": "DUANESBURG",
            "state": "NY",
            "postal_code": "120563422",
            "telephone_number": "518-461-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI CONLAN NURSE PRACTITIONER IN GERONTOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "CONLAN",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "518-461-1374",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restful Solutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restful Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Barr
• Jodi Marie Conlan, NP
• Rebecka Cox, MS, OTR/L
• Duane Avenue Dental Care, PC
• Duanesburg Physical Therapy, PLLC
• Christopher James Magil, DPT, MS, PT
• Meandering Wellness NP in Family Health PLLC
• Lisa Ann Miccio, LPN
• David A Stasko, D.D.S.
• Szymczak and Evans Family General Dentistry, PC (Pine Ridge Dental, PC)

• Nurse Practitioner in Duanesburg, NY
• Providers in Duanesburg, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.