Cellactive, LLC

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

Legal business name

CELLACTIVE, LLC

Practice address

779 Broad St Ste 2
Salamanca, NY 14779-1330

Phone

(716) 271-1312

Fax

(716) 271-1290

NPI assigned

Sep 17, 2026

Last updated

Sep 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ross L John

Title

Member

Phone

(716) 532-4466

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1134030067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 NY-438",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140709797",
            "telephone_number": "716-532-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 BROAD ST STE 2",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791330",
            "telephone_number": "716-271-1312",
            "fax_number": "716-271-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELLACTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-532-4466"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Baxter
• Elaine Beattie
• Stephanie Mae Benjamin, LPN
• Kimberly Bielata, CRNP
• Amanda Bishop, MSED. CASACT
• Ashley Charlesworth, PHARMD
• City of Salamanca Ambulance Service
• Scott Connor, LCSW
• Kathryn A Cooney-Thrush, NP
• Kathryne M Coric, MSW

• Diabetes Educator Registered Nurse in Salamanca, NY
• Providers in Salamanca, NY by specialty
• Diabetes Educator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.