Individual provider Active NPI

Danielle Moriarity, FNP-C, MSN, BSN, RN

  • Family Nurse Practitioner
  • Glens Falls, NY
National Provider Identifier
1760022107
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345368 Issued in NY
Practice address
3 Irongate Ctr Ste 2
Glens Falls, NY 12801-3473
Phone
(518) 793-4409
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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 345368 NY Primary

Addresses

Primary practice location

3 Irongate Ctr Ste 2
Glens Falls, NY 12801-3473

Mailing address

3 Irongate Ctr Ste 2
Glens Falls, NY 12801-3473
Phone (518) 793-4409

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
I20200218002891 NY Practitioner - Nurse Practitioner 8022445725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irongate Family Practice Associates PLLCGroup PAC ID 4981602307, 27 clinicians

Practice addresses (Care Compare)

3 Irongate Ctr
Glens Falls, NY 12801-3471
Phone (518) 793-4409

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
345368NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Irongate Family Practice Associates PLLC CurrentSince Jan 13, 2020 Accepting new patients

Locations

3 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 793-4409

3 Irongate Ctr
#2
Glens Falls, NY 12801
Phone 5187934409 ext. 467

Interoperability endpoints

  • Direct secure messaging: dmoriarity@irongatefamilypractice.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1760022107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CTR STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013473",
            "telephone_number": "518-793-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CTR STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013473",
            "telephone_number": "518-793-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORIARITY",
        "first_name": "DANIELLE",
        "credential": "FNP-C, MSN, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.