Individual provider Active NPI

Beverly Sottile-Malona, RN

  • Diabetes Educator Registered Nurse
  • Buffalo, NY
National Provider Identifier
1710366588
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
233765 Issued in NY
Practice address
95 Franklin St
Buffalo, NY 14202-3925
Phone
(716) 858-7010
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 233765 NY Primary

Addresses

Primary practice location

95 Franklin St
Buffalo, NY 14202-3925

Mailing address

8171 Clarence Center Rd
East Amherst, NY 14051-1948
Phone (716) 688-1537

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
233765NYMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Erie Comptrollers Office PastSince Sep 20, 2022 Accepting new patients
Erie County 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1710366588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 CLARENCE CENTER RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511948",
            "telephone_number": "716-688-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023925",
            "telephone_number": "716-858-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTILE-MALONA",
        "first_name": "BEVERLY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NY",
            "license": "233765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.