Individual provider Active NPI

Lenny Lidia Puello Perez, FNP

  • Family Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1477158103
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341786-01 Issued in NY
Practice address
42 Woodbury Dr
Amherst, NY 14226-3533
Phone
(716) 260-8360
NPI assigned
Dec 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 F341786-01 NY Primary

Addresses

Primary practice location

42 Woodbury Dr
Amherst, NY 14226-3533

Mailing address

42 Woodbury Dr
Amherst, NY 14226-3533
Phone (716) 260-8360

Other names 1

  • Mrs. Lenny Lidia Puello Ramos 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

State licenses

LicenseStateTypeSpecialty
F341786-01NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1477158103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WOODBURY DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263533",
            "telephone_number": "716-260-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WOODBURY DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142263533",
            "telephone_number": "716-260-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUELLO PEREZ",
        "first_name": "LENNY",
        "middle_name": "LIDIA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341786-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LENNY",
            "last_name": "RAMOS",
            "middle_name": "LIDIA PUELLO",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.