Active NPI
Kristin Wisnier
- Specialist
- West Seneca, NY
National Provider Identifier
1477947299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 605644051
- Practice address
- 680 Cindy LN
West Seneca, NY 14224-2430 - Phone
- (716) 677-0566
- NPI assigned
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 605644051 | NY | Primary |
Addresses
Primary practice location
680 Cindy LN
West Seneca, NY 14224-2430
Mailing address
680 Cindy LN
West Seneca, NY 14224-2430
Phone (716) 677-0566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00246812DCC | Other | NY | BHSC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 605644051 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1477947299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 CINDY LN",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242430",
"telephone_number": "716-677-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 CINDY LN",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242430",
"telephone_number": "716-677-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIER",
"first_name": "KRISTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "605644051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BHSC",
"identifier": "00246812DCC",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.