Individual provider Active NPI

Sean Patrick Hailey, NP

  • Nurse Practitioner
  • Lewiston, NY
National Provider Identifier
1245405158
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
304619 Issued in NY
Practice address
5290 Military Road Suite 10 a & B
Lewiston, NY 14092-1953
Phone
(716) 298-0080
Fax
(716) 298-0956
NPI assigned
Apr 23, 2008
Last updated
Jul 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 304619 NY Primary

Addresses

Primary practice location

5290 Military Road Suite 10 a & B
Lewiston, NY 14092-1953

Mailing address

5290 Military Road
Suite 10 a & 10 B
Lewiston, NY 14092-1983
Phone (716) 298-0080

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
I20080619000158 NY Practitioner - Nurse Practitioner 3072684083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frank R Laurri MD and Associates PCGroup PAC ID 9335114800, 11 clinicians

Practice addresses (Care Compare)

10175 Niagara Falls Blvd
Suite 1
Niagara, NY 14304-2941
Phone (716) 205-0170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Feb 29, 2016 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Feb 29, 2016 Accepting new patients

Locations

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

Interoperability endpoints

  • Direct secure messaging: shailey@laurrimdassoc.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437609600000",
    "number": "1245405158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 MILITARY ROAD",
            "address_2": "SUITE 10 A & 10 B",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921983",
            "telephone_number": "716-298-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 MILITARY ROAD SUITE 10 A & B",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921953",
            "telephone_number": "716-298-0080",
            "fax_number": "716-298-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEY",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2015-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "304619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

Verify at the official NPI Registry.