Individual provider Active NPI

Ashley Diane Lavalley, FNP-C

  • Family Nurse Practitioner
  • Syracuse, NY
National Provider Identifier
1720698319
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346138-01 Issued in NY
Practice address
739 Irving Ave Ste 400
Syracuse, NY 13210-1665
Phone
(315) 234-6677
Fax
(315) 234-4808
NPI assigned
Aug 7, 2020
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346138-01 NY Primary

Addresses

Primary practice location

739 Irving Ave Ste 400
Syracuse, NY 13210-1665

Mailing address

739 Irving Ave Ste 400
Syracuse, NY 13210-1655
Phone (315) 234-6677

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210406000541 NY Practitioner - Nurse Practitioner 9234546482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

739 Irving Ave
Suite 430
Syracuse, NY 13210-1653
Phone (315) 234-6677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as group
Quality
97.07
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F346138-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Women's Healthcare, P.C. CurrentSince Dec 29, 2020 Accepting new patients
Syracuse Gastroenterological Associates PC CurrentSince Nov 11, 2023 Accepting new patients
Syracuse Gastroenterological Associates.PC CurrentSince Nov 11, 2023 Accepting new patients

Locations

5000 Brittonfield Pkwy
Ste A128
East Syracuse, NY 13057
Phone (315) 446-4400

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

739 Irving Ave
Ste 400
Syracuse, NY 13210
Phone (315) 234-4815

739 Irving Ave
Ste 430
Syracuse, NY 13210

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1720698319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101655",
            "telephone_number": "315-234-6677",
            "fax_number": "315-234-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101665",
            "telephone_number": "315-234-6677",
            "fax_number": "315-234-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "ASHLEY",
        "middle_name": "DIANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346138-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.