Active NPI
Natasha Drake, NP
- Adult Health Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1396018362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F305965-1
- Practice address
- 701 Seneca St Ste 646C
Buffalo, NY 14210-1351 - Phone
- (716) 995-4450
- NPI assigned
- Feb 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F305965-1 | NY | Primary |
Addresses
Primary practice location
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Mailing address
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1993
Other practice location 1
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1993
Other practice location 2
40 La Riviere Dr Ste 140
Buffalo, NY 14202-4306
Phone (716) 893-1010
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9092 | CT | MD | Clinical Social Worker |
| F305965-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Primary Care Family Nurse Practitioners, PLLC | Current | Accepting new patients |
Locations
640 Ellicott St
Ste 105
Buffalo, NY 14203
Phone (716) 218-7169
4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450
Interoperability endpoints
- nadrake@landmarkhealth-direct.org
- ndrake@landmarkhealth-direct.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Buffalo, NY
- NPI 1669673349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1396018362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031126",
"telephone_number": "716-859-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SENECA ST STE 646C",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142101351",
"telephone_number": "716-995-4450"
}
],
"practiceLocations": [
{
"address_1": "100 High St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142031126",
"country_code": "US",
"telephone_number": "716-859-1993",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 La Riviere Dr Ste 140",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142024306",
"country_code": "US",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRAKE",
"first_name": "NATASHA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-21",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305965-1",
"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 Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.