Joan Beatrice Tudini, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F-301348-1 Issued in NY

Practice address

292 Main St
East Aurora, NY 14052-1650

Phone

(716) 652-1560

Fax

(716) 652-0018

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ipc Hospitalist Services of New York, P.C.

  • Hospitalist Physician
  • Buffalo, NY
  • NPI 1538424650
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1215927751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MAIN STREET",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521560",
            "telephone_number": "716-652-1560",
            "fax_number": "716-652-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521650",
            "telephone_number": "716-652-1560",
            "fax_number": "716-652-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDINI",
        "first_name": "JOAN",
        "middle_name": "BEATRICE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "NY",
            "license": "236991",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F-301348-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WNY",
            "identifier": "00535829001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "1215927751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512618",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03605341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tobias W. Corcoran DDS PLLC (Aurora Smiles Pediatric Dentistry)
• Melissa Tomaski
• Rick Tresmond
• Alicia Trinkle, LMT
• Richard Trzyzewski
• Sarah Turner, DC
• Theodore Thakesh Udaipaul, D.M.D
• Valerie Ulm, DO
• Sally Agnes Vesper, OTR/L
• Anthony August Visco, L.M.S.W.

• Adult Health Nurse Practitioner in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.