Active NPI
Jill Anne Koons, PNP
- Pediatric Nurse Practitioner
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 382233
- Practice address
- 25 Hopkins Rd
Williamsville, NY 14221-4641 - Phone
- (716) 623-8050
- Fax
- (716) 632-2297
- NPI assigned
- Mar 3, 2012
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 382233 | NY | Primary |
Addresses
Primary practice location
25 Hopkins Rd
Williamsville, NY 14221-4641
Mailing address
25 Hopkins Rd
Williamsville, NY 14221-4641
Phone (716) 623-8050
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 |
|---|---|---|---|
| 382233 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| University at Buffalo Pathologists, Inc | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Amherst Pediatric Associates, P.C. | Past | Accepting new patients | |
| Amherst Pediatric Associates, P.C. | Past | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
726 Exchange St
Ste 300
Buffalo, NY 14210
Phone (716) 859-8313
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1235155581
-
- Pediatrics Physician
- Williamsville, NY
- NPI 1386943496
-
- Pediatrics Physician
- Williamsville, NY
- NPI 1831180496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1215201504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 HOPKINS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214641",
"telephone_number": "716-623-8050",
"fax_number": "716-632-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HOPKINS RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214641",
"telephone_number": "716-623-8050",
"fax_number": "716-632-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOONS",
"first_name": "JILL",
"middle_name": "ANNE",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-03",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "382233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.