Individual provider Active NPI

Meghan Adriana Serio, RN MSN WHNP

  • Women's Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1427372630
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420976-1 Issued in NY
Practice address
1275 Delaware Ave
Suite # 555
Buffalo, NY 14209-2402
Phone
(716) 882-2424
Fax
(716) 882-9450
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420976-1 NY Primary

Addresses

Primary practice location

1275 Delaware Ave
Suite # 555
Buffalo, NY 14209-2402

Mailing address

1275 Delaware Ave
Suite # 555
Buffalo, NY 14209-2402
Phone (716) 882-2424

Other names 1

  • Ms. Meghan Adriana Matlock Other name

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
F420976-1NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Farkad Balaya MD PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1427372630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DELAWARE AVE",
            "address_2": "SUITE # 555",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092402",
            "telephone_number": "716-882-2424",
            "fax_number": "716-882-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 DELAWARE AVE",
            "address_2": "SUITE # 555",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092402",
            "telephone_number": "716-882-2424",
            "fax_number": "716-882-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIO",
        "first_name": "MEGHAN",
        "middle_name": "ADRIANA",
        "name_prefix": "Mrs.",
        "credential": "RN MSN WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420976-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "MATLOCK",
            "middle_name": "ADRIANA",
            "prefix": "MS.",
            "credential": "RN BSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.