Individual provider Active NPI

Melissa Rubadeaux, NP

  • Women's Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1376617605
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F42074301 Issued in NY
Practice address
608 William St
Buffalo, NY 14206-1649
Phone
(716) 858-7049
Fax
(716) 585-2127
NPI assigned
Nov 20, 2006
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F42074301 NY Primary

Addresses

Primary practice location

608 William St
Buffalo, NY 14206-1649

Mailing address

608 William St
Buffalo, NY 14206-1649
Phone (716) 858-7049

Other identifiers 3

IdentifierTypeStateIssuer
160746860OtherUNIVERA
9512834OtherIHA
500560925001OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F42074301NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Erie Comptrollers Office CurrentSince Mar 15, 2017 Accepting new patients
County of Erie Comptrollers Office CurrentSince Mar 15, 2017 Accepting new patients
Planned Parenthood of Central and Western New York, Inc Women's Health CurrentSince Oct 20, 2015 Accepting new patients

Locations

222 W Main St
Batavia, NY 14020
Phone (585) 344-0516

60 E Amherst St
Buffalo, NY 14214
Phone (716) 831-2200

608 William St
Buffalo, NY 14206
Phone (716) 855-1384

95 Franklin St
Rm 906
Buffalo, NY 14202

15 Lafayette Ave
Canandaigua, NY 14424
Phone (585) 344-0631

750 Portage Rd
Niagara Falls, NY 14301
Phone (716) 831-2200

15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225

114 University Ave
Rochester, NY 14605
Phone (585) 546-2771

1120 E Genesee St
Syracuse, NY 13210
Phone (315) 475-5540

240 Center Rd
West Seneca, NY 14224
Phone (716) 675-1012

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: melissa.rubadeaux.p4@direct.usppny.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1376617605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 WILLIAM ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061649",
            "telephone_number": "716-858-7049",
            "fax_number": "716-585-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WILLIAM ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061649",
            "telephone_number": "716-858-7049",
            "fax_number": "716-585-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBADEAUX",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F42074301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "160746860",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "500560925001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.