Avp Primary Care Adult Health Nurse Practitioner, PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

AVP PRIMARY CARE ADULT HEALTH NURSE PRACTITIONER, PLLC

Practice address

6631 Main St
Williamsville, NY 14221-5934

Phone

(716) 706-8984

NPI assigned

Dec 3, 2018

Last updated

Dec 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lioudmila Pliss, PH.D., MS, ANP-CNPI 1841543808

Title

Owner

Phone

(716) 706-8984

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lioudmila Pliss

  • Primary Care Nurse Practitioner
  • Williamsville, NY
  • NPI 1841543808
  NPD Authorized official

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1881164853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CORIANDER CT",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511265",
            "telephone_number": "716-706-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215934",
            "telephone_number": "716-706-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVP PRIMARY CARE ADULT HEALTH NURSE PRACTITIONER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "PLISS",
        "authorized_official_first_name": "LIOUDMILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-706-8984",
        "authorized_official_credential": "PH.D., MS, ANP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Williamsville, NY
• Providers in Williamsville, 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 Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.