Kym M Cannizzaro, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308214 Issued in NY

Practice address

9097 Main St
Clarence, NY 14031-1965

Phone

(716) 759-4938

Fax

(716) 759-4938

NPI assigned

Jun 27, 2017

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

44.01 of 100Reported as group

Promoting interoperability

0

Improvement activities

40

Cost

80.05

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHBEAA

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.

• KMC Nurse Practitioner in Adult Health PLLC

  • Adult Health Nurse Practitioner
  • Clarence, NY
  • NPI 1295570034
  Medicare reassignment NPD Authorized official
• Dent Neuologic Institute

  dba Dent Neurologic Group LLP

  • Infusion Therapy Clinic/Center
  • Amherst, NY
  • NPI 1801946488
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1861912206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311965",
            "telephone_number": "716-759-4938",
            "fax_number": "716-759-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311965",
            "telephone_number": "716-759-4938",
            "fax_number": "716-759-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10175 Niagara Falls Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143042941",
            "country_code": "US",
            "telephone_number": "716-759-4938",
            "fax_number": "716-759-4939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNIZZARO",
        "first_name": "KYM",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aneliese Deveau Brandt
• Bridget E. Sweeney, DDS, PLLC
• Brothers of Mercy Nursing Home Company Inc
• Buffalo Homecare Inc
• John Joseph Campagna, DC
• Heather Mackenzie Cantie, LCSW
• Elisa Carlino
• Timothy Paul Chambers, EDD
• Molly Michele Champagne-Forte, LMT
• Christian Counseling Ministries of Western New York Inc

• Adult Health Nurse Practitioner in Clarence, NY
• Providers in Clarence, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.