Marietta Schrader, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303221 Issued in NY

Practice address

702 Davison Rd
Lockport, NY 14094-5371

Phone

(716) 514-9355

Fax

(716) 201-1630

NPI assigned

Oct 26, 2006

Last updated

Aug 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Muneeb U. Haroon, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1386729374
  Medicare reassignment
• Acacia Family Health NP PLLC

  • Family Nurse Practitioner
  • Lockport, NY
  • NPI 1124328307
  NPD (past)
• Muneeb U. Haroon, MD

  • Internal Medicine Physician
  • Lockport, NY
  • NPI 1639363427
  NPD (past)
• Rasnick Adult Health Nurse Practitioner PLLC

  dba Encompass Pain Management

  • Adult Health Nurse Practitioner
  • Lockport, NY
  • NPI 1144607433
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1265517239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 GAFFNEY RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945536",
            "telephone_number": "716-434-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945371",
            "telephone_number": "716-514-9355",
            "fax_number": "716-201-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRADER",
        "first_name": "MARIETTA",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01000215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karey M Schmelz, PA
• Shannon Schmitt, MS. ED., LMHC
• Roger Glenn Schneider, M.D.
• Lauretta Schoenfeldt, RN,BSN
• Jessica Scholze
• Jeffrey John Schratz, M.D.
• Mary Alexandra Schriever
• Brighid T Schuler, LCSW
• Kim Adriene Schuler, OTR
• Kari Schultz, LMHC

• Adult Health Nurse Practitioner in Lockport, NY
• Providers in Lockport, 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 Aug 22, 2013; 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.

Verify at the official NPI Registry.