Active NPI
Norma O'Brien, FNP
- Family Nurse Practitioner
- Monticello, NY
National Provider Identifier
1861574311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 332895
- Practice address
- 23 Lakewood Ave
Hudson River Healthcare, Inc.
Monticello, NY 12701-2021 - Phone
- (845) 794-2010
- Fax
- (845) 794-4569
- NPI assigned
- Oct 20, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 446102-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | 332895 | NY | Primary |
Addresses
Primary practice location
23 Lakewood Ave
Hudson River Healthcare, Inc.
Monticello, NY 12701-2021
Mailing address
1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913
Phone (914) 734-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02945513 | Medicaid | NY | |
| 332895 | Other | NY | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 446102-1 | NY | MD | Registered Nurse |
| 332895 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- norma.obrien@hrh.eclinicaldirectplus.com
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.
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1861574311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8800",
"fax_number": "914-734-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 LAKEWOOD AVE",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127012021",
"telephone_number": "845-794-2010",
"fax_number": "845-794-4569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "NORMA",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "446102-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "332895",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02945513",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "332895",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.