Individual provider Active NPI

Heather A O'Hara, PNP

  • Pediatric Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1265194062
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383317 Issued in NY
Practice address
1800 Maple Rd
Williamsville, NY 14221-2749
Phone
(716) 636-5437
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383317 NY Primary

Addresses

Primary practice location

1800 Maple Rd
Williamsville, NY 14221-2749

Mailing address

90 Southridge Dr
West Seneca, NY 14224-4443
Phone (716) 341-7860

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
I20240112002680 NY Practitioner - Nurse Practitioner 7214388370 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Nov 4, 2023 Accepting new patients
Kaleida Health CurrentSince Nov 4, 2023 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Kaleida Health Current Accepting new patients
Carrow Street Pediatrics, PLLC Past Accepting new patients
Pediatric and Adolescent Urgent Care of Western New York Past Accepting new patients
University at Buffalo Pediatric Associates Inc Past Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDGDAA/Endpoint/EDGDAA

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1265194062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SOUTHRIDGE DR",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244443",
            "telephone_number": "716-341-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-636-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.