Individual provider Active NPI

Tina Louise Vandermeer-Gatti, FNP

  • Family Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1144261165
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F334823 Issued in NY
Practice address
290 Center Rd
West Seneca, NY 14224-1945
Phone
(716) 675-7693
Fax
(855) 714-1253
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F334823 NY Primary

Addresses

Primary practice location

290 Center Rd
West Seneca, NY 14224-1945

Mailing address

290 Center Rd
West Seneca, NY 14224-1945
Phone (716) 675-7693

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
I20071002000532 NY Practitioner - Nurse Practitioner 6608961933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F334823NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Family CurrentSince Nov 1, 2016 Accepting new patients
General Physician, PC PastSince Apr 1, 2016 Accepting new patients

Locations

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

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

Interoperability endpoints

  • Direct secure messaging: tina.vandermeergattifnp.p4@direct.usppny.nextgenshare.com

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1144261165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241945",
            "telephone_number": "716-675-7693",
            "fax_number": "855-714-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241945",
            "telephone_number": "716-675-7693",
            "fax_number": "855-714-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMEER-GATTI",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F334823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.