Individual provider Active NPI

Lisa M Daly, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Elmira, NY
National Provider Identifier
1841631751
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401587-1 Issued in NY
Practice address
100 Washington St
Elmira, NY 14901-2849
Phone
(607) 737-4928
NPI assigned
Jul 9, 2013
Last updated
Jul 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401587-1 NY Primary

Addresses

Primary practice location

100 Washington St
Elmira, NY 14901-2849

Mailing address

191 Erie Blvd
Ste C
Susquehanna, PA 18847-2833
Phone (570) 853-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20171024003604 PA Practitioner - Nurse Practitioner 6002100690 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F401587-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B-K Health Center, Inc CurrentSince Jul 30, 2017 Accepting new patients
B-K Health Center, Inc Current Accepting new patients

Locations

127 Route 106
Greenfield Township, PA 18407
Phone (570) 278-7500

25066 State Route 11
Hallstead, PA 18822
Phone (570) 879-5249

498 S Main St
Ste D
Montrose, PA 18801
Phone (570) 278-7500

2380 Elk Lake School Rd
Springville, PA 18844
Phone (570) 278-1106

191 Erie Blvd
Ste C
Susquehanna, PA 18847
Phone (570) 853-0913

Interoperability endpoints

  • Direct secure messaging: ldaly@nepachc.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1841631751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ERIE BLVD",
            "address_2": "STE C",
            "city": "SUSQUEHANNA",
            "state": "PA",
            "postal_code": "188472833",
            "telephone_number": "570-853-0911",
            "fax_number": "570-853-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012849",
            "telephone_number": "607-737-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401587-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.