Individual provider Active NPI

Lauren Halaris, FNP

  • Nurse Practitioner
  • Victor, NY
National Provider Identifier
1396307831
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
344635 Issued in NY
Practice address
7616 Arbor Glen Dr
Victor, NY 14564-9278
Phone
(585) 208-9151
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 344635 NY
Nurse Practitioner 363L00000X 344635 NY Primary

Addresses

Primary practice location

7616 Arbor Glen Dr
Victor, NY 14564-9278

Mailing address

7617 Arbor Glen Dr
Victor, NY 14564-9278

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ?

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

State licenses

LicenseStateTypeSpecialty
344635NYMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC Urgent Care CurrentSince May 21, 2022 Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

1867 Empire Blvd
Webster, NY 14580
Phone (585) 347-3689

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.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1396307831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 ARBOR GLEN DR",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7616 ARBOR GLEN DR",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649278",
            "telephone_number": "585-208-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALARIS",
        "first_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "344635",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "344635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "?",
            "affiliation": "N",
            "address_1": "7616 Arbor Glen Dr",
            "city": "Victor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145649278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.