Clarice Tannebaum, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347606 Issued in NY

Practice address

225 S Cascade Dr
Springville, NY 14141-9287

Phone

(716) 599-1163

NPI assigned

Mar 22, 2021

Last updated

Apr 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: ctannebaum290423@direct.wvuhsdirect.com

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.

• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Jamestown, NY
  • NPI 1770850224
  NPD (past)

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1457937146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E STATE ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791227",
            "telephone_number": "716-359-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CASCADE DR",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141419287",
            "telephone_number": "716-599-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNEBAUM",
        "first_name": "CLARICE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R247845",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Margaret Susskraut, NP
• Cathy L. Swales, COTA
• Kyle Ryan Sweeney
• Celestine Szulewski, P.A.
• Emily Margaret Tallman, PHARMD
• Douglas Evan Tanner, PHYSICIAN ASSISTANT
• The Childrens League
• Steven R Townsend, LMT
• Trinity Medical Wny PC
• Margaret Lux Trzyzewski, PT

• Family Nurse Practitioner in Springville, NY
• Providers in Springville, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.