Active NPI
Dawn H. Degrasse, NP (NURSE PRACTITION
- Adult Health Nurse Practitioner
- West Amherst, NY
National Provider Identifier
1255756342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F306635
- Practice address
- Tonawanda Medical Practice, P.C.
2800 Sweethome Rd. #6
West Amherst, NY 14228-1300 - Phone
- (716) 691-1300
- Fax
- (716) 691-5044
- NPI assigned
- Feb 26, 2014
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F306635 | NY | Primary |
Addresses
Primary practice location
Tonawanda Medical Practice, P.C.
2800 Sweethome Rd. #6
West Amherst, NY 14228-1300
Mailing address
Tonawanda Medical Practice, P.C.
2800 Sweethome Rd. #6
West Amherst, NY 14228-1300
Phone (716) 691-1300
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170119001186 | NY | Practitioner - Nurse Practitioner | 3870808264 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F306635 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569888000000",
"number": "1255756342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TONAWANDA MEDICAL PRACTICE, P.C.",
"address_2": "2800 SWEETHOME RD. #6",
"city": "WEST AMHERST",
"state": "NY",
"postal_code": "142281300",
"telephone_number": "716-691-1300",
"fax_number": "716-691-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TONAWANDA MEDICAL PRACTICE, P.C.",
"address_2": "2800 SWEETHOME RD. #6",
"city": "WEST AMHERST",
"state": "NY",
"postal_code": "142281300",
"telephone_number": "716-691-1300",
"fax_number": "716-691-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRASSE",
"first_name": "DAWN",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "NP (NURSE PRACTITION",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-26",
"last_updated": "2019-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F306635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.