Individual provider Active NPI

Pamela Riester, NP

  • Pediatric Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1477795003
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3820001 Issued in NY
Practice address
3725 N Buffalo St
Suite a
Orchard Park, NY 14127-1853
Phone
(716) 662-2300
Fax
(716) 662-2057
NPI assigned
Mar 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3820001 NY Primary

Addresses

Primary practice location

3725 N Buffalo St
Suite a
Orchard Park, NY 14127-1853

Mailing address

3725 N Buffalo St
Suite a
Orchard Park, NY 14127-1853
Phone (716) 662-2300

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3820001NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1477795003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-662-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-662-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESTER",
        "first_name": "PAMELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "3820001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.