ADIRONDACK NURSE PRACTITIONER IN ADULT HEALTH, PC
NPI 1104799964
Clinic/Center in Clifton Park, NY
- Organization
- Clinic/Center
- CLIA Number: 33D2333270
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 11-02-2027
About ADIRONDACK NURSE PRACTITIONER IN ADULT HEALTH, PC
This page provides the complete NPI Profile along with additional information for Adirondack Nurse Practitioner In Adult Health, Pc, a provider established in Clifton Park, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104799964 assigned on September 2025. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Karie Deming Nurse Practitioner (Owner)
- NPI
- 1104799964 Verify this NPI
- Provider Name
- ADIRONDACK NURSE PRACTITIONER IN ADULT HEALTH, PC
- Entity Type
- Organization
- Location Address
- 634 PLANK RD STE 103 CLIFTON PARK, NY 12065
- Location Phone
- (518) 350-8444
- Location Fax
- (518) 350-8441
- Mailing Address
- 634 PLANK RD STE 103 CLIFTON PARK, NY 12065
- Mailing Phone
- (518) 350-8444
- Mailing Fax
- (949) 864-3795
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-27-2025
- Last Update Date
- 11-13-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2333270
- Facility Type
- Practitioner Other
- Certificate Effective Date
- November 03, 2025
- Certificate Expiration Date
- November 02, 2027
- Laboratory Director
- KARIE A. DEMING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adirondack Nurse Practitioner In Adult Health, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104799964, enumerated as an "organization" on September 27, 2025.
The provider is located at 634 PLANK RD STE 103 CLIFTON PARK, NY 12065 and the phone number is (518) 350-8444.
Clinic/Center with taxonomy code 261Q00000X.
