Individual provider Active NPI

Natalie S Synnott, RN, NP

  • Adult Health Nurse Practitioner
  • Patchogue, NY
National Provider Identifier
1942447347
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300886 Issued in NY
Practice address
4 Phyllis Dr Ste C
Patchogue, NY 11772-2900
Phone
(631) 261-4400
Fax
(631) 758-0024
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F300886 NY Primary

Addresses

Primary practice location

4 Phyllis Dr Ste C
Patchogue, NY 11772-2900

Mailing address

4 Phyllis Dr Ste C
Patchogue, NY 11772-2900
Phone (631) 261-4400

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
I20180420000204 NY Order and Referring Only - Nurse Practitioner 9234398595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F300886NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1942447347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PHYLLIS DR STE C",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722900",
            "telephone_number": "631-261-4400",
            "fax_number": "631-758-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHYLLIS DR STE C",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722900",
            "telephone_number": "631-261-4400",
            "fax_number": "631-758-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYNNOTT",
        "first_name": "NATALIE",
        "middle_name": "S",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.