MARY GAUDET PHELPS FNP-BC NPI 1417654096

NPI Information

  • NPI: 1417654096
  • Provider Name: MARY GAUDET PHELPS, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1882 NEW SCOTLAND RD STE 200
    SLINGERLANDS, NY
    ZIP 12159
  • Phone: (518) 439-2460

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NPI Details

Mary Gaudet Phelps, FNP-BC is a family nurse practitioner in Slingerlands, NY with 4 years of experience. Mary Gaudet Phelps, FNP-BC NPI is 1417654096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1882 NEW SCOTLAND RD STE 200
SLINGERLANDS, NY
ZIP 12159-627
Phone: (518) 439-2460
Fax: (518) 439-3025

The NPI 1417654096 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2023 and was last updated on 2/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily349680NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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