Individual provider Active NPI

Carley Dodd, FNP

  • Family Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1821895418
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355806 Issued in NY
Practice address
1020 Vestal Pkwy E
Vestal, NY 13850-1748
Phone
(607) 444-6868
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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 355806 NY Primary

Addresses

Primary practice location

1020 Vestal Pkwy E
Vestal, NY 13850-1748

Mailing address

665 Fox Farm Rd
Windsor, NY 13865-1637
Phone (607) 348-3856

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
I20250904004785 NY Practitioner - Nurse Practitioner 7618479171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurosciences Healthcare Medicine, PCGroup PAC ID 5799012993, 22 clinicians

Practice addresses (Care Compare)

1020 Vestal Pkwy E
Vestal, NY 13850-1748
Phone (607) 444-6868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355806NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosciences Healthcare Medicine, PC CurrentSince May 22, 2025 Accepting new patients
Neurosciences Healthcare Medicine, PC CurrentSince May 22, 2025 Accepting new patients

Locations

122 W Main St
Endicott, NY 13760
Phone (607) 237-4724

1020 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 444-6868

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEFCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1821895418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 FOX FARM RD",
            "city": "WINDSOR",
            "state": "NY",
            "postal_code": "138651637",
            "telephone_number": "607-348-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 VESTAL PKWY E",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501748",
            "telephone_number": "607-444-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "CARLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.