Individual provider Active NPI

Patricia Hills, PNP

  • Pediatric Nurse Practitioner
  • South Dayton, NY
National Provider Identifier
1760716104
Registry record updated Mar 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380369 Issued in NY
Practice address
7755 Route 83
Pine Valley Central High School
South Dayton, NY 14138-9633
Phone
(716) 988-3291
NPI assigned
Oct 1, 2009
Last updated
Mar 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380369 NY Primary
Registered Nurse 163W00000X 236732 NY

Addresses

Primary practice location

7755 Route 83
Pine Valley Central High School
South Dayton, NY 14138-9633

Mailing address

7755 Route 83
Pine Valley Central School
South Dayton, NY 14138-9633
Phone (716) 988-3291

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

State licenses

LicenseStateTypeSpecialty
236732NYMDDiagnostic Radiology Physician
F380369NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua County Chapter of Nysarc Inc Past Accepting new patients
Pine Valley Central School 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267833600000",
    "number": "1760716104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7755 ROUTE 83",
            "address_2": "PINE VALLEY CENTRAL SCHOOL",
            "city": "SOUTH DAYTON",
            "state": "NY",
            "postal_code": "141389633",
            "telephone_number": "716-988-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7755 ROUTE 83",
            "address_2": "PINE VALLEY CENTRAL HIGH SCHOOL",
            "city": "SOUTH DAYTON",
            "state": "NY",
            "postal_code": "141389633",
            "telephone_number": "716-988-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLS",
        "first_name": "PATRICIA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2010-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380369",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "236732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Dayton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.