Individual provider Active NPI

Laura Madore Paytash, FNP

  • Family Nurse Practitioner
  • Webster, NY
National Provider Identifier
1568868982
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339188 Issued in NY
Practice address
60 Barrett Dr
Suite a
Webster, NY 14580-2963
Phone
(585) 872-1003
NPI assigned
Nov 12, 2014
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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 339188 NY Primary

Addresses

Primary practice location

60 Barrett Dr
Suite a
Webster, NY 14580-2963

Mailing address

60 Barrett Dr
Suite a
Webster, NY 14580-2963
Phone (585) 872-1003

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
339188NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lpaytash25449@direct.urmc.rochester.edu

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1568868982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BARRETT DR",
            "address_2": "SUITE A",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802963",
            "telephone_number": "585-872-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BARRETT DR",
            "address_2": "SUITE A",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802963",
            "telephone_number": "585-872-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTASH",
        "first_name": "LAURA",
        "middle_name": "MADORE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.