Individual provider Active NPI

Carol E Northrup, P.N.P.

  • Pediatric Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1114993854
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380504 Issued in NY
Practice address
341 Englewood Ave
Buffalo, NY 14223-2819
Phone
(716) 833-2333
Fax
(716) 833-3972
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380504 NY Primary

Addresses

Primary practice location

341 Englewood Ave
Buffalo, NY 14223-2819

Mailing address

341 Englewood Avenue
Buffalo, NY 14223
Phone (716) 833-2333

Other identifiers 1

IdentifierTypeStateIssuer
01528990MedicaidNY

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F380504NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC Past Accepting new patients
Kenmore Pediatric Assoc., P.C. Past Accepting new patients
Delaware Pediatric Associates Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cnorthrup@delawarepeds.medentdirect.com

Organizations & group practices 3

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114993854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 ENGLEWOOD AVENUE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14223",
            "telephone_number": "716-833-2333",
            "fax_number": "716-833-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 ENGLEWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232819",
            "telephone_number": "716-833-2333",
            "fax_number": "716-833-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHRUP",
        "first_name": "CAROL",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01528990",
            "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 Jul 13, 2026; 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.