Individual provider Active NPI

Sonia Anselmo-Witzel, RN

  • School Registered Nurse
  • West Henrietta, NY
National Provider Identifier
1720369184
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
443721 Issued in NY
Practice address
639 Erie Station Rd
West Henrietta, NY 14586-9750
Phone
(585) 359-5312
Fax
(585) 359-5353
NPI assigned
Aug 30, 2011
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 443721 NY Primary

Addresses

Primary practice location

639 Erie Station Rd
West Henrietta, NY 14586-9750

Mailing address

639 Erie Station Rd
West Henrietta, NY 14586-9750
Phone (585) 359-5312

Other identifiers 1

IdentifierTypeStateIssuer
166002034MedicaidNY

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
443721NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1720369184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 ERIE STATION RD",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869750",
            "telephone_number": "585-359-5312",
            "fax_number": "585-359-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 ERIE STATION RD",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145869750",
            "telephone_number": "585-359-5312",
            "fax_number": "585-359-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSELMO-WITZEL",
        "first_name": "SONIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "443721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166002034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Henrietta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.