Individual provider Active NPI

Karen Lynn Paolini, ANP-BC

  • Adult Health Nurse Practitioner
  • Grand Island, NY
National Provider Identifier
1164859872
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F306666-1 Issued in NY
Practice address
1780 Grand Island Blvd Ste 3
Grand Island, NY 14072-2265
Phone
(716) 345-5592
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306666-1 NY Primary

Addresses

Primary practice location

1780 Grand Island Blvd Ste 3
Grand Island, NY 14072-2265

Mailing address

1780 Grand Island Blvd Ste 3
Grand Island, NY 14072-2265
Phone (716) 345-5592

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306666NYMDLicensed Practical Nurse
F306666-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1164859872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 GRAND ISLAND BLVD STE 3",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722265",
            "telephone_number": "716-345-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 GRAND ISLAND BLVD STE 3",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722265",
            "telephone_number": "716-345-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306666-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.