Active NPI
Theresa L Hart, GNP, ANP
- Gerontology Nurse Practitioner
- Farmington, NY
National Provider Identifier
1841459062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- F340698-1
- Practice address
- 6172 Fawn Meadow St
Farmington, NY 14425-1115 - Phone
- (585) 329-1511
- NPI assigned
- Jun 3, 2008
- Last updated
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305553-1 | NY | |
| Gerontology Nurse Practitioner | 363LG0600X | F340698-1 | NY | Primary |
Addresses
Primary practice location
6172 Fawn Meadow St
Farmington, NY 14425-1115
Mailing address
6172 Fawn Meadow St
Farmington, NY 14425-1115
Phone (585) 329-1511
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305553-1 | NY | MD | Adult Health Nurse Practitioner |
| F340698-1 | NY | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1841459062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6172 FAWN MEADOW ST",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "144251115",
"telephone_number": "585-329-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6172 FAWN MEADOW ST",
"city": "FARMINGTON",
"state": "NY",
"postal_code": "144251115",
"telephone_number": "585-329-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "THERESA",
"middle_name": "L",
"credential": "GNP, ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305553-1",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NY",
"license": "F340698-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.