Individual provider Active NPI

Deborah Dee, PNP

  • Pediatric Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1083797419
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380062 Issued in NY
Practice address
219 Bryant St
Emergency Medicine
Buffalo, NY 14222-2066
Phone
(716) 878-7109
Fax
(716) 888-3874
NPI assigned
Oct 21, 2006
Last updated
Sep 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380062 NY Primary
Registered Nurse 163W00000X 233923 NY

Addresses

Primary practice location

219 Bryant St
Emergency Medicine
Buffalo, NY 14222-2066

Mailing address

4511 Harlem Rd
Suite 202
Amherst, NY 14226-3822
Phone (716) 839-6720

Other identifiers 5

IdentifierTypeStateIssuer
00020033001OtherNYUNIVERA
040426003318OtherNYFIDELIS
000560099003OtherNYBC/BS
9512474OtherNYIHA
01964410MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
233923NYMDRegistered Nurse
F380062NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Pediatric Associates Inc PastSince Jan 1, 1998 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1083797419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 HARLEM RD",
            "address_2": "SUITE 202",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263822",
            "telephone_number": "716-839-6720",
            "fax_number": "716-839-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BRYANT ST",
            "address_2": "EMERGENCY MEDICINE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222066",
            "telephone_number": "716-878-7109",
            "fax_number": "716-888-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEE",
        "first_name": "DEBORAH",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380062",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "233923",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020033001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426003318",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000560099003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512474",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01964410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.