Individual provider Active NPI

Amy Phair, FNP

  • Family Nurse Practitioner
  • Lowville, NY
National Provider Identifier
1891211488
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
352317 Issued in NY
Practice address
7785 N State St
Lowville, NY 13367-1229
Phone
(315) 376-5200
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 701787 NY
Family Nurse Practitioner 363LF0000X 352317 NY Primary

Addresses

Primary practice location

7785 N State St
Lowville, NY 13367-1229

Mailing address

9824 State Route 46
Westernville, NY 13486-2128
Phone (315) 404-6613

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
I20230911003462 NY Practitioner - Nurse Practitioner 7416311303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis CountyGroup PAC ID 2668463779, shared by 14 NPIs, 39 clinicians

Practice addresses (Care Compare)

3926 State Route 12
Lyons Falls, NY 13368-1919
Phone (315) 348-8407

7785 N State St
FL 3
Lowville, NY 13367-1229
Phone (315) 376-5287

9559 Main St
Beaver Falls, NY 13305-0000
Phone (315) 346-6824

Hospital & facility affiliations

  • Lewis County General Hospital Hospital, Lowville, NY, CCN 331317
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
701787NYMDRegistered Nurse
352317NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County General Hospital CurrentSince Sep 1, 2023 Accepting new patients
Lewis County General Hospital Current Accepting new patients
Lewis County General Hospital CurrentSince Sep 1, 2023 Accepting new patients
Lewis County CurrentSince Sep 1, 2023 Accepting new patients
Lewis County General Hospital CurrentSince Sep 1, 2023 Accepting new patients
Lewis County Past Accepting new patients
Lewis County General Hospital Past Accepting new patients

Locations

9732 State Route 12
Copenhagen, NY 13626
Phone (315) 668-2305

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

7785 N State St
Fl 3
Lowville, NY 13367
Phone (315) 376-5287

3926 State Route 12
Lyons Falls, NY 13368
Phone (315) 348-8407

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1891211488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9824 STATE ROUTE 46",
            "city": "WESTERNVILLE",
            "state": "NY",
            "postal_code": "134862128",
            "telephone_number": "315-404-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAIR",
        "first_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "701787",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "352317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.