Active NPI
Elizabeth Mary Valk, FNP-C
- Family Nurse Practitioner
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 349077
- Practice address
- 713 Troy Schenectady Rd Ste 224
Latham, NY 12110-2490 - Phone
- (518) 786-6270
- Fax
- (518) 786-6276
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 349077 | NY | Primary |
Addresses
Primary practice location
713 Troy Schenectady Rd Ste 224
Latham, NY 12110-2490
Mailing address
PO Box 14890
Albany, NY 12212-4890
Other practice location 1
101 Jordan Rd Ste 200
Troy, NY 12180-8337
Phone (518) 274-0476
Other practice location 2
2215 Burdett Ave Fl 2
Troy, NY 12180-2466
Phone (518) 271-3900
Other practice location 3
855 Route 146 Ste 150
Clifton Park, NY 12065-3874
Phone (518) 373-4555
Other practice location 4
2231 Burdett Ave Ste 110
Troy, NY 12180-2447
Phone (518) 271-3900
Other practice location 5
2231 Burdett Ave Ste 160
Troy, NY 12180-2453
Phone (518) 326-1620
Other names 1
- Elizabeth Mary Reardon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2524 Route 9W
Ravena, NY 12143
Phone (518) 756-7390
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F349077 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Current | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
713 Troy Schenectady Rd
Ste 224
Latham, NY 12110
Phone (518) 785-3614
2524 US Route 9W
Ravena, NY 12143
Phone (518) 756-7390
101 Jordan Rd
Ste 200
Troy, NY 12180
Phone (518) 274-0476
Interoperability endpoints
- elizabethvalk@ccp.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1942947320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"city": "ALBANY",
"state": "NY",
"postal_code": "122124890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 TROY SCHENECTADY RD STE 224",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102490",
"telephone_number": "518-786-6270",
"fax_number": "518-786-6276"
}
],
"practiceLocations": [
{
"address_1": "101 Jordan Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121808337",
"country_code": "US",
"telephone_number": "518-274-0476",
"fax_number": "518-274-0497",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2215 Burdett Ave Fl 2",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3900",
"fax_number": "518-271-3914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 Route 146 Ste 150",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120653874",
"country_code": "US",
"telephone_number": "518-373-4555",
"fax_number": "518-371-3839",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2231 Burdett Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802447",
"country_code": "US",
"telephone_number": "518-271-3900",
"fax_number": "518-271-3914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2231 Burdett Ave Ste 160",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802453",
"country_code": "US",
"telephone_number": "518-326-1620",
"fax_number": "518-326-1622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALK",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "349077",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP - Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "713 Troy Schenectady Rd Ste 224",
"city": "Latham",
"state": "NY",
"country_code": "US",
"postal_code": "121102490",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "REARDON",
"middle_name": "MARY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.