Individual provider Active NPI

Karen E Winterburn, N.P.

  • Women's Health Nurse Practitioner
  • Jamestown, NY
National Provider Identifier
1801857552
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
417569 Issued in NY
Practice address
400 Foote Ave
Jamestown, NY 14701-6800
Phone
(716) 484-9194
Fax
(716) 484-0115
NPI assigned
Mar 31, 2006
Last updated
May 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 417569 NY Primary

Addresses

Primary practice location

400 Foote Ave
Jamestown, NY 14701-6800

Mailing address

400 Foote Ave
Jamestown, NY 14701-6800
Phone (716) 484-9194

Other identifiers 4

IdentifierTypeStateIssuer
000560509001OtherNYBC/BS OF WNY
040426003895OtherNYFIDELIS CARE
01910907MedicaidNY
00026504201OtherNYUNIVERA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000427 NY Practitioner - Nurse Practitioner 6406991918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Lane Women's Health Group PCGroup PAC ID 0143365668, 5 clinicians

Practice addresses (Care Compare)

400 Foote Ave
Jamestown, NY 14701-6800
Phone 7164849194221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
417569NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Women's Health Group PC Women's Health CurrentSince Jan 24, 2010 Accepting new patients
Lane Women's Health GR. PastSince Jan 24, 2010 Accepting new patients

Locations

400 Foote Ave
Jamestown, NY 14701
Phone (716) 484-9194

Interoperability endpoints

  • Direct secure messaging: kwinterburn@lanewomenshealth.medentdirect.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1801857552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016800",
            "telephone_number": "716-484-9194",
            "fax_number": "716-484-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016800",
            "telephone_number": "716-484-9194",
            "fax_number": "716-484-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERBURN",
        "first_name": "KAREN",
        "middle_name": "E",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "417569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "000560509001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "040426003895",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01910907",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026504201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.