Active NPI
Sherita M. Dubois
- Certified Registered Nurse Anesthetist
- Cheektowaga, NY
National Provider Identifier
1407109804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 577781
- Practice address
- 3095 Harlem Rd
Cheektowaga, NY 14225-2500 - Phone
- (716) 896-3815
- Fax
- (716) 896-3015
- NPI assigned
- Oct 23, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 577781 | NY | Primary |
Addresses
Primary practice location
3095 Harlem Rd
Cheektowaga, NY 14225-2500
Mailing address
4511 Harlem Rd RM 3
Amherst, NY 14226-3822
Phone (716) 886-0444
Other practice location 1
3921 Sheridan Dr
Amherst, NY 14226-1747
Phone (716) 250-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 577781 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Surgery Center LLC | Current | Accepting new patients |
Locations
3921 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6520
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.
-
- Ambulatory Surgical Clinic/Center
- Amherst, NY
- NPI 1508863242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407109804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 HARLEM RD RM 3",
"city": "AMHERST",
"state": "NY",
"postal_code": "142263822",
"telephone_number": "716-886-0444",
"fax_number": "716-885-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3095 HARLEM RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252500",
"telephone_number": "716-896-3815",
"fax_number": "716-896-3015"
}
],
"practiceLocations": [
{
"address_1": "3921 Sheridan Dr",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "NY",
"postal_code": "142261747",
"country_code": "US",
"telephone_number": "716-250-6520",
"fax_number": "716-250-6565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBOIS",
"first_name": "SHERITA",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "577781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.