Wendy D'Avella

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F331372 Issued in NY

Practice address

24 S Park St
Attn: Wendy D'Avella
Cambridge, NY 12816-1223

Phone

(518) 677-2653

Fax

(518) 677-2837

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Cambridge Central School

  • Local Education Agency (LEA)
  • Cambridge, NY
  • NPI 1669537296
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1891879730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S PARK ST",
            "address_2": "ATTN: WENDY D'AVELLA",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128161223",
            "telephone_number": "518-677-2653",
            "fax_number": "518-677-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S PARK ST",
            "address_2": "ATTN: WENDY D'AVELLA",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128161223",
            "telephone_number": "518-677-2653",
            "fax_number": "518-677-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AVELLA",
        "first_name": "WENDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "413556",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02632328",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cambridge Valley Rescue Squad, Inc.
• Seema B Chaudhari, M.D.
• Melanie C Clark, NP
• Susan Vincent Cox, MSW, MA
• Jessica Blythe Crane, PA
• Gayle B Depan-Cartier, P.A.
• Ella Ruth Derbyshire, MD
• Melissa E Devine, LCSW
• Edward Stephen Dick, LCSW
• Bree Elizabeth Franklin

• All providers in Cambridge, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.