Individual provider Active NPI

Nicole Lynn Grichen

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1356178644
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
032595 Issued in NY
Practice address
3705 Seneca St
Buffalo, NY 14224-3452
Phone
(716) 674-2404
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 032595 NY Primary

Addresses

Primary practice location

3705 Seneca St
Buffalo, NY 14224-3452

Mailing address

284 Fredericka St
North Tonawanda, NY 14120-2630
Phone (716) 523-5843

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
032595NYMDPediatrics Physician

Interoperability endpoints

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

NPI Registry JSON

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1356178644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 FREDERICKA ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202630",
            "telephone_number": "716-523-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 SENECA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142243452",
            "telephone_number": "716-674-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRICHEN",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "032595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.