Active NPI
Kira Alvarado Fiutak, N.P.
- Women's Health Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1790998896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F420425-1
- Practice address
- 421 Montgomery St
Civic Center 9TH Floor
Syracuse, NY 13202-2923 - Phone
- (315) 435-3295
- Fax
- (315) 435-8442
- NPI assigned
- May 7, 2007
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F420425-1 | NY | Primary |
Addresses
Primary practice location
421 Montgomery St
Civic Center 9TH Floor
Syracuse, NY 13202-2923
Mailing address
15 Goodspeed PL
Skaneateles, NY 13152-1309
Phone (315) 685-6738
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790998896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 GOODSPEED PL",
"city": "SKANEATELES",
"state": "NY",
"postal_code": "131521309",
"telephone_number": "315-685-6738",
"fax_number": "315-685-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 MONTGOMERY ST",
"address_2": "CIVIC CENTER 9TH FLOOR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132022923",
"telephone_number": "315-435-3295",
"fax_number": "315-435-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIUTAK",
"first_name": "KIRA",
"middle_name": "ALVARADO",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F420425-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, 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.