Extend Care Family Health NP PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

335944 Issued in NY

Legal business name

EXTEND CARE FAMILY HEALTH NP PLLC

Practice address

101 Herkimer Rd
Utica, NY 13502

Phone

(315) 724-6144

Fax

(315) 724-3978

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Jonathan Daniel Colino, DNPNPI 1962736074

Title

Owner

Phone

(315) 724-6144

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18043/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Jonathan Daniel Colino, NP

  • Family Nurse Practitioner
  • Utica, NY
  • NPI 1962736074
  Medicare reassignment Care Compare group Authorized official
• Rachel A Colino, FNP

  • Family Nurse Practitioner
  • Utica, NY
  • NPI 1417212630
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1982974358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HERKIMER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022311",
            "telephone_number": "315-724-6144",
            "fax_number": "315-724-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HERKIMER RD",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-724-6144",
            "fax_number": "315-724-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTEND CARE FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "COLINO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-724-6144",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Evans
• Suzanne Evans, RN
• Yamila Amara Evans
• Conni3 Lou Everetts, LCSWR
• Evolve Counseling, LCSW, PLLC
• Eye Designs Unlimited Optometry PC
• Andrea Faccioli
• Cynthia Fahey, OTR/L
• Sara Fairbairn
• Anthony Joseph Falcone, D.D.S

• Family Nurse Practitioner in Utica, NY
• Providers in Utica, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.