Individual provider Active NPI

Carrie Lodestro, FNP

  • Family Nurse Practitioner
  • Lancaster, NY
National Provider Identifier
1366801698
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340263 Issued in NY
Practice address
5775 Broadway St
Lancaster, NY 14086-2456
Phone
(716) 395-6611
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407193 NY
Family Nurse Practitioner 363LF0000X 340263 NY Primary

Addresses

Primary practice location

5775 Broadway St
Lancaster, NY 14086-2456

Mailing address

5775 Broadway St
Lancaster, NY 14086-2456
Phone (716) 395-6611

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
I20160908001608 NY Practitioner - Nurse Practitioner 4688960222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340263NYMDFamily Medicine Physician
407193NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1366801698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862456",
            "telephone_number": "716-395-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 BROADWAY ST",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862456",
            "telephone_number": "716-395-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODESTRO",
        "first_name": "CARRIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407193",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "340263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NY

Sources for this page

Verify at the official NPI Registry.