Individual provider Active NPI

Abigail M Specht

  • Psychiatric/Mental Health Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1609527555
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403942-01 Issued in NY
Practice address
70 Linwood Ave
Orchard Park, NY 14127-2308
Phone
(716) 675-9232
Fax
(716) 675-9217
NPI assigned
Jan 12, 2022
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403942-01 NY Primary

Addresses

Primary practice location

70 Linwood Ave
Orchard Park, NY 14127-2308

Mailing address

70 Linwood Ave
Orchard Park, NY 14127-2308
Phone (716) 675-9232

Other practice location 1

1370 Niagara Falls Blvd
Tonawanda, NY 14150-8431
Phone (716) 833-3792

Other practice location 2

4535 Southwestern Blvd
Hamburg, NY 14075-1860
Phone (716) 689-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F403942-01NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1609527555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 LINWOOD AVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272308",
            "telephone_number": "716-675-9232",
            "fax_number": "716-675-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINWOOD AVE",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272308",
            "telephone_number": "716-675-9232",
            "fax_number": "716-675-9217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 Niagara Falls Blvd",
            "address_purpose": "LOCATION",
            "city": "Tonawanda",
            "state": "NY",
            "postal_code": "141508431",
            "country_code": "US",
            "telephone_number": "716-833-3792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4535 Southwestern Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751860",
            "country_code": "US",
            "telephone_number": "716-689-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPECHT",
        "first_name": "ABIGAIL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403942-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.