Sonya Lynne Blackmer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F341565-1 Issued in NY

Practice address

84 Lamplighter Acres
Fort Edward, NY 12828-9317

Phone

(518) 480-5870

NPI assigned

Sep 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Eden Center for Integrative CareGroup PAC ID 0749634640, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Eden Center for Integrative Care

  • Psychologist
  • Glens Falls, NY
  • NPI 1457027526
  Medicare reassignment Care Compare group NPD
• Shannon James Nurse Practitioner in Psychiatry P.C

  dba The Eden Center for Integrative Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Glens Falls, NY
  • NPI 1417697376
  NPD

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699294082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 LAMPLIGHTER ACRES",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128289317",
            "telephone_number": "518-480-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 LAMPLIGHTER ACRES",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128289317",
            "telephone_number": "518-480-5870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-386-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMER",
        "first_name": "SONYA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341565-1",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "631400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela L Andrade, LCSW
• Taryn E Ashe, PTA
• Elisia Kay Barber, FNP
• Jamila Basharat
• Cameron D Benidt
• Dakota Storm Blake, PTA
• Theresa Blanchard
• Theresa Anne Boire, OTR/L
• Marinea Bonenfant
• Erika Karoline Bordwell, PSY.D.

• Family Nurse Practitioner in Fort Edward, NY
• Providers in Fort Edward, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.