Individual provider Active NPI

Kaitlin Roman

  • Family Nurse Practitioner
  • Cheektowaga, NY
National Provider Identifier
1063753531
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340909-1 Issued in NY
Practice address
3091 William St
Cheektowaga, NY 14227-1919
Phone
(716) 822-3098
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 659255 NY
Family Nurse Practitioner 363LF0000X F340909-1 NY Primary

Addresses

Primary practice location

3091 William St
Cheektowaga, NY 14227-1919

Mailing address

3091 William St
Cheektowaga, NY 14227-1919
Phone (716) 822-3098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724001268 NY Practitioner - Nurse Practitioner 2466722582 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
659255NYMDRegistered Nurse
F340909-1NYMDFamily Nurse Practitioner
340909NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Nov 1, 2017 Accepting new patients
University Emergency Medical Services Inc. CurrentSince May 20, 2017 Accepting new patients
Trinity Medical Wny PC CurrentSince Nov 1, 2017 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

1616 Kensington Ave
Ste 1
Buffalo, NY 14215
Phone (716) 834-3278

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

3091 William St
Cheektowaga, NY 14227
Phone (716) 822-3098

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

4855 Camp Rd
Ste 100
Hamburg, NY 14075
Phone (716) 646-1084

5290 Military Rd
Ste 10
Lewiston, NY 14092
Phone (716) 282-3084

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

310 Sterling Dr
Ste 100
Orchard Park, NY 14127
Phone (716) 677-6800

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

825 Wehrle Dr
Williamsville, NY 14221
Phone (716) 634-3243

Interoperability endpoints

  • Direct secure messaging: kroman20992@direct.chsbuffalo.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1063753531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 WILLIAM ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271919",
            "telephone_number": "716-822-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 WILLIAM ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271919",
            "telephone_number": "716-822-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "KAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "659255",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340909-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.