Organization Active NPI

Occupational Health Services RPN NP Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Salamanca, NY
National Provider Identifier
1407040280
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303946 1 Issued in NY
Legal business name
OCCUPATIONAL HEALTH SERVICES RPN NP ADULT HEALTH PLLC
Practice address
187-189 Center Street
Salamanca, NY 14779-1454
Phone
(716) 945-2825
Fax
(716) 945-2827
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ms. Gwen Elizabeth Bruno, ANP
Title
Manager
Phone
(716) 945-2825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X F303946 1 NY Primary

Addresses

Primary practice location

187-189 Center Street
Salamanca, NY 14779-1454

Mailing address

PO Box 375
187-189 Center Street
Salamanca, NY 14779-0375
Phone (716) 945-2825

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1407040280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "address_2": "187-189 CENTER STREET",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147790375",
            "telephone_number": "716-945-2825",
            "fax_number": "716-945-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187-189 CENTER STREET",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791454",
            "telephone_number": "716-945-2825",
            "fax_number": "716-945-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL HEALTH SERVICES RPN NP ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "716-945-2825",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303946 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salamanca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.