Individual provider Active NPI

Kaitlyn A Wojewoda, FNP

  • Family Nurse Practitioner
  • Lockport, NY
National Provider Identifier
1669866125
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338604 Issued in NY
Practice address
139 Professional Pkwy
Lockport, NY 14094-5369
Phone
(716) 433-6711
Fax
(716) 433-0546
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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 338604 NY Primary

Addresses

Primary practice location

139 Professional Pkwy
Lockport, NY 14094-5369

Mailing address

139 Professional Pkwy
Lockport, NY 14094-5369
Phone (716) 433-6711

Other names 1

  • Kaitlyn A Hull Former name

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
338604NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
William J Baier MD PLLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1669866125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 PROFESSIONAL PKWY",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945369",
            "telephone_number": "716-433-6711",
            "fax_number": "716-433-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 PROFESSIONAL PKWY",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945369",
            "telephone_number": "716-433-6711",
            "fax_number": "716-433-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJEWODA",
        "first_name": "KAITLYN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "HULL",
            "middle_name": "A",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.