Individual provider Active NPI

Gabriella Clare, FNP-BC

  • Family Nurse Practitioner
  • Derby, NY
National Provider Identifier
1447056569
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F355206-01 Issued in NY
Practice address
6763 Erie Rd
Derby, NY 14047-9670
Phone
(716) 947-2222
Fax
(716) 947-2223
NPI assigned
Feb 20, 2025
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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 F355206-01 NY Primary

Addresses

Primary practice location

6763 Erie Rd
Derby, NY 14047-9670

Mailing address

6763 Erie Rd
Derby, NY 14047-9670
Phone (716) 947-2222

Other practice location 1

1707 Abbott Rd
Lackawanna, NY 14218-2940
Phone (716) 599-1444

Other practice location 2

402 Main St
Dunkirk, NY 14048-2721
Phone (716) 366-6111

Other practice location 3

194 Central Ave
Silver Creek, NY 14136-1338
Phone (716) 934-3333

Other practice location 4

2310 William St
Cheektowaga, NY 14206-2527
Phone (716) 222-3333

Other practice location 5

4470 Bay View Rd
Hamburg, NY 14075-1335
Phone (716) 646-4646

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

State licenses

LicenseStateTypeSpecialty
F355206-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Mulawka DO PC PastSince Feb 23, 2025 Accepting new patients
John Mulawka DO, PC PastSince Feb 23, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gclare@dsdpediatrics.medentdirect.com

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, 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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1447056569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6763 ERIE RD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479670",
            "telephone_number": "716-947-2222",
            "fax_number": "716-947-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6763 ERIE RD",
            "city": "DERBY",
            "state": "NY",
            "postal_code": "140479670",
            "telephone_number": "716-947-2222",
            "fax_number": "716-947-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Abbott Rd",
            "address_purpose": "LOCATION",
            "city": "Lackawanna",
            "state": "NY",
            "postal_code": "142182940",
            "country_code": "US",
            "telephone_number": "716-599-1444",
            "fax_number": "716-599-1448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 Main St",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140482721",
            "country_code": "US",
            "telephone_number": "716-366-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Silver Creek",
            "state": "NY",
            "postal_code": "141361338",
            "country_code": "US",
            "telephone_number": "716-934-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 William St",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142062527",
            "country_code": "US",
            "telephone_number": "716-222-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4470 Bay View Rd",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751335",
            "country_code": "US",
            "telephone_number": "716-646-4646",
            "fax_number": "716-926-9290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARE",
        "first_name": "GABRIELLA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F355206-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.