Individual provider Active NPI

Lynn Irene Wasserbauer, PHD,FNP,CNS

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1306855911
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332659-1 Issued in NY
Practice address
Strong Memorial Hospital 300 Crittenden Blvd
Box Pych
Rochester, NY 14642-0001
Phone
(585) 276-6900
Fax
(585) 273-1066
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332659-1 NY Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 382148-1 NY

Addresses

Primary practice location

Strong Memorial Hospital 300 Crittenden Blvd
Box Pych
Rochester, NY 14642-0001

Mailing address

147 Webster Rd
Spencerport, NY 14559-1527
Phone (585) 734-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F332659-1NYMDFamily Nurse Practitioner
382148-1NYMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Interoperability endpoints

  • Direct secure messaging: lwasserbauer3304@direct.urmc.rochester.edu

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1306855911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WEBSTER RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591527",
            "telephone_number": "585-734-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STRONG MEMORIAL HOSPITAL 300 CRITTENDEN BLVD",
            "address_2": "BOX PYCH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-276-6900",
            "fax_number": "585-273-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERBAUER",
        "first_name": "LYNN",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PHD,FNP,CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332659-1",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "382148-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.