Individual provider Active NPI

Heather Marie Ganoung

  • Community Health Registered Nurse
  • Cortland, NY
National Provider Identifier
1790441376
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
763738-1 Issued in NY
Practice address
60 Central Ave
Cortland, NY 13045-2746
Phone
(607) 753-5203
Fax
(607) 758-5542
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 763738-1 NY Primary

Addresses

Primary practice location

60 Central Ave
Cortland, NY 13045-2746

Mailing address

3648 Fairview Dr
Cortland, NY 13045-9331
Phone (315) 440-0279

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hganoung@cortland-co.org Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
763738-1NYMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1790441376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 FAIRVIEW DR",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130459331",
            "telephone_number": "315-440-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CENTRAL AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452746",
            "telephone_number": "607-753-5203",
            "fax_number": "607-758-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANOUNG",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "763738-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hganoung@cortland-co.org",
            "affiliation": "N",
            "endpointDescription": "RHIOS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "60 Central Ave",
            "city": "Cortland",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130452746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.