Individual provider Active NPI

Sharon Rose Tasner, FNP

  • Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1821059163
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F3329251 Issued in NY
Practice address
1150 Youngs Rd
Suite #104
Williamsville, NY 14221-8053
Phone
(716) 636-7979
Fax
(716) 636-7993
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F3329251 NY Primary

Addresses

Primary practice location

1150 Youngs Rd
Suite #104
Williamsville, NY 14221-8053

Mailing address

1150 Youngs Rd
Suite #104
Williamsville, NY 14221-8053
Phone (716) 636-7979

Other identifiers 1

IdentifierTypeStateIssuer
02347139MedicaidNY

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
I20080619000207 NY Practitioner - Nurse Practitioner 0941371967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F3329251NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group CurrentSince Dec 3, 2007 Accepting new patients
Highgate Medical Group CurrentSince Nov 13, 2022 Accepting new patients

Locations

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

6255 Sheridan Dr
Ste 200
Williamsville, NY 14221
Phone (716) 636-7979

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1821059163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE #104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE #104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASNER",
        "first_name": "SHARON",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3329251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02347139",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.