Active NPI
Jennifer Lynn Radich McCann, NP
- Women's Health Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1205998580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F4207651
- Practice address
- Elm and Carlton St Ste 100
Buffalo, NY 14263-1816 - Phone
- (716) 845-2300
- Fax
- (716) 845-3549
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F4207651 | NY | Primary |
Addresses
Primary practice location
Elm and Carlton St Ste 100
Buffalo, NY 14263-1816
Mailing address
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4207651 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Buffalo, Inc. | Current | Accepting new patients | |
| Allara Medical Group PA | Past | Accepting new patients |
Locations
34 Benwood Ave
Buffalo, NY 14214
Phone (716) 898-4449
Interoperability endpoints
- jennifer.mccann@335000925634564.direct.elationemr.com
- https://fhir4.healow.com/fhir/r4/HDJFBA
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.
-
- Federally Qualified Health Center (FQHC)
- Buffalo, NY
- NPI 1790787919
-
- Gynecology Physician
- New York, NY
- NPI 1700450558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1205998580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST STE 100",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142631816",
"telephone_number": "716-845-2300",
"fax_number": "716-845-3549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "JENNIFER",
"middle_name": "LYNN RADICH",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F4207651",
"primary": true
}
],
"identifiers": [],
"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 Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.