Active NPI
Vicki M Wlock, NP
- Registered Nurse
- Niagara Falls, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 370695
- Practice address
- 6934 Williams Rd
Suite 500
Niagara Falls, NY 14304-3080 - Phone
- (716) 297-7898
- NPI assigned
- Mar 24, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 370695 | NY | Primary |
Addresses
Primary practice location
6934 Williams Rd
Suite 500
Niagara Falls, NY 14304-3080
Mailing address
915 Orchard Dr
Lewiston, NY 14092-1815
Phone (716) 523-0539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02521740 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 370695 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Eastern Great Lakes Pathology PC | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo, New York | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| General Physician, PC | Past | Accepting new patients | |
| Physicians Care of Keystone | Past | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Interoperability endpoints
- vwlock20300@direct.chsbuffalo.org
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1659396380
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Internal Medicine Physician
- Keystone Heights, FL
- NPI 1154512432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1508826322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 ORCHARD DR",
"city": "LEWISTON",
"state": "NY",
"postal_code": "140921815",
"telephone_number": "716-523-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6934 WILLIAMS RD",
"address_2": "SUITE 500",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143043080",
"telephone_number": "716-297-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WLOCK",
"first_name": "VICKI",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "370695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02521740",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.