NPIMap

Individual provider Active NPI

Dorothy Eileen Lacombe, NP

  • Adult Health Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1780008078
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
306779 Issued in NY
Practice address
963 Route 146 Ste 3
Clifton Park, NY 12065-3636
Phone
(518) 337-8993
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 306779 NY Primary

Addresses

Primary practice location

963 Route 146 Ste 3
Clifton Park, NY 12065-3636

Mailing address

963 Route 146 Ste 3
Clifton Park, NY 12065-3636
Phone (518) 579-2500

Other names 1

  • Mrs. Dorothy Eileen Gibson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140709001908 NY Practitioner - Nurse Practitioner 4385867910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

963 Route 146
Clifton Park, NY 12065-3636
Phone (518) 579-2500

Hospital & facility affiliations

  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
81.1 of 100Reported as individual
Quality
71.75
Improvement activities
40
Cost
68.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306779NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dorothy Lacombe Adult Healthcare Nurse Practitioner PLLC CurrentSince Jul 15, 2018 Accepting new patients

Locations

963 Route 146
Clifton Park, NY 12065
Phone (518) 383-0065

954 Route 146
Ste 3
Clifton Park, NY 12065
Phone (518) 337-8993

963 Route 146
Ste 3
Clifton Park, NY 12065
Phone (518) 337-8993

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 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1780008078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 ROUTE 146 STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653636",
            "telephone_number": "518-579-2500",
            "fax_number": "518-785-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 ROUTE 146 STE 3",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653636",
            "telephone_number": "518-337-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOMBE",
        "first_name": "DOROTHY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "306779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "GIBSON",
            "middle_name": "EILEEN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.