Individual provider Active NPI

Lauren Lundy, FNP-C

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1881879690
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337034 Issued in NY
Practice address
Hudson Valley Hospice, Inc
374 Violet Avenue
Poughkeepsie, NY 12601-1034
Phone
(845) 473-2273
Fax
(845) 790-0009
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004819 CT
Family Nurse Practitioner 363LF0000X 337034 NY Primary

Addresses

Primary practice location

Hudson Valley Hospice, Inc
374 Violet Avenue
Poughkeepsie, NY 12601-1034

Mailing address

Hudson Valley Hospice, Inc
374 Violet Avenue
Poughkeepsie, NY 12601-1034
Phone (845) 473-2273

Other identifiers 1

IdentifierTypeStateIssuer
04003476MedicaidNY

Other names 1

  • Lauren Van Dyke Former name

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
I20141219000247 NY Practitioner - Nurse Practitioner 2769625938 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
004819CTMDFamily Nurse Practitioner
337034NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Medical Health Choices, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Regional Healthcare Associates LLC Family Past Accepting new patients
Recoverhealth Medical Services, PLLC PastSince Sep 25, 2017 Accepting new patients

Locations

374 Violet Ave
Poughkeepsie, NY 12601
Phone (845) 240-7555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1053/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1881879690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HUDSON VALLEY HOSPICE, INC",
            "address_2": "374 VIOLET AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-473-2273",
            "fax_number": "845-790-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUDSON VALLEY HOSPICE, INC",
            "address_2": "374 VIOLET AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011034",
            "telephone_number": "845-473-2273",
            "fax_number": "845-790-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004819",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04003476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "VAN DYKE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.