Minda Joy Dwyer, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

302093 Issued in NY

Practice address

66 Hackett Blvd
Albany, NY 12209-1750

Phone

(518) 262-4439

Fax

(518) 262-8460

NPI assigned

Oct 21, 2005

Last updated

Apr 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Minda Joy Hubbard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1760472773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091750",
            "telephone_number": "518-262-4439",
            "fax_number": "518-262-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091750",
            "telephone_number": "518-262-4439",
            "fax_number": "518-262-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWYER",
        "first_name": "MINDA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "302093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02053978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDA",
            "last_name": "HUBBARD",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Marie Dwileski, RN
• Bryan William Dworsky, M.D.
• Carlin Francis Dwyer
• Evan Dwyer, RN
• Mary Kate Dwyer
• Rosemarie Dyer, OTR/L
• Ronald Euegene Dyess Jr., AGNP-C
• E Scott Macomber MD PC
• Jeremy M Eager, M.D.
• Mitchell S Earleywine, PH.D.

• Nurse Practitioner in Albany, NY
• Providers in Albany, 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 Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.