Individual provider Active NPI

Mary Probst, LPN

  • Licensed Practical Nurse
  • Cheektowaga, NY
National Provider Identifier
1558545988
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
212908 Issued in NY
Practice address
1680 Walden Ave
Cheektowaga, NY 14225-4914
Phone
(716) 894-7777
Fax
(716) 894-0604
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 212908 NY Primary

Addresses

Primary practice location

1680 Walden Ave
Cheektowaga, NY 14225-4914

Mailing address

25 Williamstowne CT
Apt 1
Cheektowaga, NY 14227-2174
Phone (716) 895-8350

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
212908NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aftercare Past Accepting new patients
Aftercare Nursing Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1558545988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WILLIAMSTOWNE CT",
            "address_2": "APT 1",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272174",
            "telephone_number": "716-895-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WALDEN AVE",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254914",
            "telephone_number": "716-894-7777",
            "fax_number": "716-894-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBST",
        "first_name": "MARY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "212908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.