Organization Active NPI

Orchard Park Early Intervention RN Services, PLLC

  • Early Intervention Provider Agency
  • Orchard Park, NY
National Provider Identifier
1710287891
Registry record updated Oct 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ORCHARD PARK EARLY INTERVENTION RN SERVICES, PLLC
Practice address
40 Centre Dr
Suite a
Orchard Park, NY 14127-4100
Phone
(716) 667-2294
Fax
(716) 667-2272
NPI assigned
Oct 23, 2010
Last updated
Oct 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2010

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

Authorized official

Name
Ms. Julie Ann Wettlaufer, RN MSN
Title
Executive Director
Phone
(716) 667-2294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

40 Centre Dr
Suite a
Orchard Park, NY 14127-4100

Mailing address

40 Centre Dr
Suite a
Orchard Park, NY 14127-4100
Phone (716) 667-2294

National Provider Directory

National Provider Directory

Locations

40 Centre Dr
Ste A
Orchard Park, NY 14127
Phone (716) 667-2294

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287792000000",
    "number": "1710287891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CENTRE DR",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274100",
            "telephone_number": "716-667-2294",
            "fax_number": "716-667-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CENTRE DR",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274100",
            "telephone_number": "716-667-2294",
            "fax_number": "716-667-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD PARK EARLY INTERVENTION RN SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-23",
        "last_updated": "2010-10-23",
        "status": "A",
        "authorized_official_last_name": "WETTLAUFER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-667-2294",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2010; 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.