Individual provider Active NPI

Lioudmila Pliss

  • Primary Care Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1841543808
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F306218-1 Issued in NY
Practice address
6631 Main St Ste 2
Williamsville, NY 14221-5934
Phone
(716) 428-5505
Fax
(716) 707-3935
NPI assigned
Oct 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F306218-1 NY Primary

Addresses

Primary practice location

6631 Main St Ste 2
Williamsville, NY 14221-5934

Mailing address

6631 Main St Ste 2
Williamsville, NY 14221-5934
Phone (716) 428-5505

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
I20131223000252 NY Practitioner - Nurse Practitioner 8325275217 Practice locations: Williamsville, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6631 Main St
Williamsville, NY 14221-5934
Phone (716) 428-5505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F306218-1NYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avp Primary Care Adult Health Nurse Practitioner, PLLC Current Accepting new patients
Giwny, Inc PastSince Apr 23, 2023 Accepting new patients
Integrative Pain & Wellness Associates, LLC PastSince Feb 28, 2017 Accepting new patients

Locations

6631 Main St
#2
Williamsville, NY 14221
Phone (716) 240-2296

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1841543808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 MAIN ST STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215934",
            "telephone_number": "716-428-5505",
            "fax_number": "716-428-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 MAIN ST STE 2",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215934",
            "telephone_number": "716-428-5505",
            "fax_number": "716-707-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISS",
        "first_name": "LIOUDMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F306218-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.