Individual provider Active NPI

Vivian Karen Gerard, NP, LCSWE AND RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1386794006
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401287-1 Issued in NY
Practice address
419 Walnut Ave
Niagara Falls, NY 14301-1761
Phone
(716) 285-1904
Fax
(716) 284-8262
NPI assigned
Jan 12, 2007
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401287-1 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X R0384571 NY
Registered Nurse 163W00000X 3897821 NY

Addresses

Primary practice location

419 Walnut Ave
Niagara Falls, NY 14301-1761

Mailing address

419 Walnut Ave
Niagara Falls, NY 14301-1761
Phone (716) 285-1904

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
I20110627000473 NY Practitioner - Nurse Practitioner 0749468551 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Northpointe Council, Inc.Group PAC ID 7618369570, 4 clinicians

Practice addresses (Care Compare)

1001 11TH St
Niagara Falls, NY 14301-1201
Phone (716) 278-8110

101 Lang Blvd
Suite 1
Grand Island, NY 14072-1601
Phone (716) 453-0242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0384571NYMDAddiction (Substance Use Disorder) Counselor
3897821NYMDRegistered Nurse
F401287-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Aug 31, 2015 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Aug 31, 2015 Accepting new patients
Northpointe Council, Inc. Addiction (Substance Use Disorder) CurrentSince Oct 28, 2022 Accepting new patients
Louis P. Labarber, PHD, CSW, P.C. CurrentSince Nov 1, 2018 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince May 22, 2011 Accepting new patients
Vivian K. Gerard, RN Nurse Practitioner in Psychiatry P.C. Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince May 22, 2011 Accepting new patients

Locations

101 Lang Blvd
#1
Grand Island, NY 14072
Phone (716) 219-8494

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

41 Main St
Lockport, NY 14094
Phone (716) 433-3846

3 N Erie St
Mayville, NY 14757

1001 11th St
Niagara Falls, NY 14301
Phone (716) 278-1940

419 Walnut Ave
Niagara Falls, NY 14301
Phone (716) 285-1904

800 Main St
Ste 2A
Niagara Falls, NY 14301
Phone (716) 282-1228

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 7

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1386794006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WALNUT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011761",
            "telephone_number": "716-285-1904",
            "fax_number": "716-284-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WALNUT AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011761",
            "telephone_number": "716-285-1904",
            "fax_number": "716-284-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "VIVIAN",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "NP, LCSWE AND RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401287-1",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "R0384571",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3897821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.