Active NPI
Mary Elizabeth Walter, N.P.
- Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1710901509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 331111
- Practice address
- 515 Abbott Rd
Ste 302
Buffalo, NY 14220-1700 - Phone
- (716) 828-3520
- Fax
- (716) 828-3550
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 331111 | NY | Primary |
Addresses
Primary practice location
515 Abbott Rd
Ste 302
Buffalo, NY 14220-1700
Mailing address
515 Abbott Rd
Ste 302
Buffalo, NY 14220-1700
Phone (716) 828-3520
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000560180003 | Other | NY | BLUE CROSS OF WNY |
| 051017000049 | Other | NY | FIDELIS |
| 9512126 | Other | NY | INDEPENDENT HEALTH |
| 00026546805 | Other | NY | UNIVERA |
| 00026546806 | Other | NY | UNIVERA |
| 000560180004 | Other | NY | BLUE CROSS OF WNY |
| P00287556 | Other | NY | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 331111 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710901509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ABBOTT RD",
"address_2": "STE 302",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142201700",
"telephone_number": "716-828-3520",
"fax_number": "716-828-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 ABBOTT RD",
"address_2": "STE 302",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142201700",
"telephone_number": "716-828-3520",
"fax_number": "716-828-3550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTER",
"first_name": "MARY ELIZABETH",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "331111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF WNY",
"identifier": "000560180003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "051017000049",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9512126",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026546805",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026546806",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF WNY",
"identifier": "000560180004",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00287556",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.