Individual provider Active NPI

Susan B Senf, FNP-C

  • Family Nurse Practitioner
  • Grand Island, NY
National Provider Identifier
1396700712
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332212 Issued in NY
Practice address
2694 E River Rd
Grand Island, NY 14072-2155
Phone
(716) 812-2477
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F332212 NY Primary

Addresses

Primary practice location

2694 E River Rd
Grand Island, NY 14072-2155

Mailing address

2694 E River Rd
Grand Island, NY 14072-2155
Phone (716) 812-2477

Other identifiers 3

IdentifierTypeStateIssuer
005603671OtherNYBLUE CROSS/BLUE SHIELD
9511946OtherNYINDEPENDENT HEALTH
00026497301OtherNYUNIVERA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Services PLLC PastSince Jan 1, 2015 Accepting new patients
Susan Baldassari MD PastSince Apr 20, 2015 Accepting new patients
Northtowns Imaging PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1396700712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 E RIVER RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722155",
            "telephone_number": "716-812-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2694 E RIVER RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722155",
            "telephone_number": "716-812-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENF",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F332212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "005603671",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9511946",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026497301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.