Active NPI
Merry E Egan, FNP
- Family Nurse Practitioner
- Oswego, NY
National Provider Identifier
1720160112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F331288
- Practice address
- Rudolph Road
Walker Health Ctr, Suny Oswego
Oswego, NY 13126 - Phone
- (315) 312-4100
- Fax
- (315) 312-5409
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F331288 | NY | Primary |
Addresses
Primary practice location
Rudolph Road
Walker Health Ctr, Suny Oswego
Oswego, NY 13126
Mailing address
56 Wildwood Ave
Fulton, NY 13069-6900
Phone (315) 593-7086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F331288 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1720160112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 WILDWOOD AVE",
"city": "FULTON",
"state": "NY",
"postal_code": "130696900",
"telephone_number": "315-593-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RUDOLPH ROAD",
"address_2": "WALKER HEALTH CTR, SUNY OSWEGO",
"city": "OSWEGO",
"state": "NY",
"postal_code": "13126",
"telephone_number": "315-312-4100",
"fax_number": "315-312-5409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MERRY",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F331288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.