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NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC
NPI 1114147311
Nurse Practitioner - Family in Watertown, NY

Active since April 27, 2007CLIA 33D1033011 · Microscopy
19472 US ROUTE 11 STE N101, WATERTOWN, NY 13601(315) 786-1924(315) 786-0823 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2020, Sep 14, 2020, Aug 23, 2016 and 1 more (4 updates tracked since 2016).

About Northern Nurse Practitioners - Family Health Pllc NPPES

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

NORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC (NPI 1114147311) is a healthcare organization registered as a family in Watertown, New York and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through November 2, 2026 and lists Catherine M O'brien, President, as its authorized official.

NPPES Registry Identity

NPI1114147311
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTHERN NURSE PRACTITIONERS - FAMILY HEALTH PLLC
Location Address19472 US ROUTE 11 STE N101Watertown, NY 13601-5387
Mailing Address19472 Us Route 11 Ste N101Watertown, NY 13601-5387 · (315) 786-1924 · Fax (315) 786-0823
Phone(315) 786-1924
Fax(315) 786-0823
Organization SubpartNo
Authorized OfficialCatherine M O'brienPresident · (315) 786-1924
Enumeration DateApril 27, 2007
Last NPPES UpdateSeptember 30, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1114147311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
19472 US ROUTE 11 STE N101, Watertown, NY 13601
Open in Google Maps ↗

Other Identifiers 1

MedicaidCBCCNY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D1033011

Northern Nurse Practitioners Dba Family Health, PLLC · Watertown, NY
Active · expires Nov 2, 2026
CLIA Number33D1033011
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorMs. Catherine M. Obrien
Laboratory Phone(315) 786-1924
Laboratory LocationNorthern Nurse Practitioners Dba Family Health, PLLC19472 Us Route 11 - Ste N101, Watertown, NY 13601
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

EMILY EDNA MCGOVERN FNP
Family Medicine
19472 US ROUTE 11 STE N101
WATERTOWN, NY 13601
Jefferson County (315) 786-1924

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 Northern Nurse Practitioners - Family Health PLLC's NPI number?

The NPI number for Northern Nurse Practitioners - Family Health PLLC is 1114147311. It was assigned to this organization in the NPPES registry on April 27, 2007.

Where is Northern Nurse Practitioners - Family Health PLLC located?

Northern Nurse Practitioners - Family Health PLLC is located at 19472 Us Route 11 Ste N101, Watertown, NY 13601. The listed phone number is (315) 786-1924.

What is Northern Nurse Practitioners - Family Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Northern Nurse Practitioners - Family Health PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D1033011) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Nurse Practitioners - Family Health PLLC was last updated on September 30, 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.