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OCTAVIA LYNNE FLANAGAN RN, PHD
NPI 1083045074
Nurse Practitioner - Women's Health in Elmira, NY

Active since December 02, 2013
600 FITCH ST STE 102, ELMIRA, NY 14905(607) 734-6544(607) 734-6580 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2020, Sep 13, 2019 (2 updates tracked since 2019).

About Octavia Lynne Flanagan Rn, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCTAVIA LYNNE FLANAGAN RN, PHD (NPI 1083045074) is an individual women's health provider in Elmira, New York, licensed in New York (421379) and active in the NPI registry since December 2013. She maintains a secondary practice location in Johnson City.

NPPES Registry Identity

NPI1083045074
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameOCTAVIA LYNNE FLANAGANCredential: RN, PHD
Location Address600 FITCH ST STE 102Elmira, NY 14905-1634
Mailing Address571 Saint Josephs Blvd, Fl 2Elmira, NY 14901-3230 · (607) 271-2050
Phone(607) 734-6544
Fax(607) 734-6580
Sole ProprietorNo
Enumeration DateDecember 2, 2013
Last NPPES UpdateNovember 24, 20202 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1083045074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NY · 421379
600 FITCH ST STE 102, Elmira, NY 14905
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Other Names 1

Former Name (1)Miss Octavia Lynne Blackwelder

Secondary Practice Location 1

Location 12151 Century LnJohnson City, TN 37604-4469 · Phone (423) 926-2500 · Fax (423) 926-5999

Other Identifiers 2

Medicaid05623143NY
MedicaidQ016313TN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY J NICHOLSON MD
Obstetrics & Gynecology
600 FITCH ST STE 102
ELMIRA, NY 14905
Chemung County (607) 734-6544
ALISON RENEE PLATUKIS CNM
Advanced Practice Midwife
600 FITCH ST STE 102
ELMIRA, NY 14905
Chemung County (607) 734-6544
KYLIE COREEN NEWMAN MURRELLE NP
Nurse Practitioner (Family)
600 FITCH ST STE 102
ELMIRA, NY 14905
Chemung County (607) 734-6544
KATHIE BROOKE PROPER
Nurse Practitioner (Family)
600 FITCH ST STE 102
ELMIRA, NY 14905
Chemung County (607) 734-6544
MRS. AMANDA ACOMB HALPENNY CNM
Advanced Practice Midwife
600 FITCH ST STE 102
ELMIRA, NY 14905
Chemung County (607) 734-6544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Octavia Flanagan's NPI number?

The NPI number for Octavia Flanagan is 1083045074. It was assigned to this individual provider in the NPPES registry on December 2, 2013. The provider is also known as Miss Octavia Lynne Blackwelder.

Where is Octavia Flanagan located?

Octavia Flanagan practices at 600 Fitch St Ste 102, Elmira, NY 14905. The listed phone number is (607) 734-6544.

What is Octavia Flanagan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Octavia Flanagan was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.