Individual provider Active NPI

Chelsea George, FNP

  • Pediatrics Physician
  • Hamburg, NY
National Provider Identifier
1396377180
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
345464 Issued in NY
Practice address
17 Long Ave Ste 110
Hamburg, NY 14075-6200
Phone
(716) 646-5188
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 345464 NY Primary

Addresses

Primary practice location

17 Long Ave Ste 110
Hamburg, NY 14075-6200

Mailing address

17 Long Ave Ste 110
Hamburg, NY 14075-6200
Phone (716) 646-5188

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345464NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Village Pediatrics & Rheumotology LLC Pediatrics CurrentSince Feb 16, 2020 Accepting new patients
Forestream Pediatrics, LLP Past Accepting new patients

Locations

17 Long Ave
Ste 110
Hamburg, NY 14075
Phone (716) 646-5188

Organizations & group practices 2

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": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1396377180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LONG AVE STE 110",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756200",
            "telephone_number": "716-646-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LONG AVE STE 110",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140756200",
            "telephone_number": "716-646-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "345464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.