Individual provider Active NPI

Katie L Lloyd, PA-C

  • Physician Assistant
  • West Seneca, NY
National Provider Identifier
1457768483
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017670-1 Issued in NY
Practice address
3615 Seneca St
West Seneca, NY 14224-3444
Phone
(716) 675-7376
Fax
(716) 675-2191
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017670-1 NY Primary

Addresses

Primary practice location

3615 Seneca St
West Seneca, NY 14224-3444

Mailing address

Rheumatology Consultants of Wny
3615 Seneca St
West Seneca, NY 14224
Phone (716) 675-7376

Other names 1

  • Ms. Katie L Hare Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818000473 NY Practitioner - Physician Assistant 1355568221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3615 Seneca St
West Seneca, NY 14224-3444

Hospital & facility affiliations

  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017670-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Consultants of Western New York, P.C. CurrentSince Jan 1, 2005 Accepting new patients

Locations

3615 Seneca St
Ste F
West Seneca, NY 14224
Phone (716) 675-6193

3615 Seneca St
West Seneca, NY 14224
Phone (716) 675-2660

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1457768483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RHEUMATOLOGY CONSULTANTS OF WNY",
            "address_2": "3615 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "14224",
            "telephone_number": "716-675-7376",
            "fax_number": "716-675-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243444",
            "telephone_number": "716-675-7376",
            "fax_number": "716-675-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "KATIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017670-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HARE",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.