Organization Active NPI

Poughkeepsie Family Health Care NP PLLC

  • Medical Specialty Clinic/Center
  • Poughkeepsie, NY
National Provider Identifier
1891517330
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
POUGHKEEPSIE FAMILY HEALTH CARE NP PLLC
Practice address
207 Washington St Ste 201
Poughkeepsie, NY 12601-8112
Phone
(845) 452-4671
Fax
(877) 801-5104
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Tanesha KembleNPI 1659759454
Title
Owner
Phone
(845) 554-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

207 Washington St Ste 201
Poughkeepsie, NY 12601-8112

Mailing address

207 Washington St Ste 201
Poughkeepsie, NY 12601-8112
Phone (845) 452-4671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241119002934 NY Part B Supplier - Clinic/Group Practice 4486189065 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

207 Washington St
Poughkeepsie, NY 12604

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1891517330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON ST STE 201",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126018112",
            "telephone_number": "845-452-4671",
            "fax_number": "877-801-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WASHINGTON ST STE 201",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126018112",
            "telephone_number": "845-452-4671",
            "fax_number": "877-801-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUGHKEEPSIE FAMILY HEALTH CARE NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-554-5599"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.