Organization Active NPI

Flandreau Family Health NP, PLLC

  • Family Nurse Practitioner
  • Tonawanda, NY
National Provider Identifier
1891538096
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FLANDREAU FAMILY HEALTH NP, PLLC
Practice address
279 Brookside Ter
Tonawanda, NY 14150-5904
Phone
(607) 742-0890
NPI assigned
Jun 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Authorized official

Name
Mr. Sawyer Coley Flandreau, NPNPI 1194445072
Title
Founder, Chief Medical Officer
Phone
(607) 742-0890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

279 Brookside Ter
Tonawanda, NY 14150-5904

Mailing address

279 Brookside Ter
Tonawanda, NY 14150-5904
Phone (607) 742-0890

Other names 1

  • PURE Primary and Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203000407 NY Part B Supplier - Clinic/Group Practice 6406381227 Receives reassigned benefits from 3 practitioners
Practice locations: Tonawanda, NY

National Provider Directory

National Provider Directory

Locations

157 Main St
Tonawanda, NY 14150
Phone (716) 693-0232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718409600000",
    "number": "1891538096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BROOKSIDE TER",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505904",
            "telephone_number": "607-742-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BROOKSIDE TER",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141505904",
            "telephone_number": "607-742-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLANDREAU FAMILY HEALTH NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A",
        "authorized_official_last_name": "FLANDREAU",
        "authorized_official_first_name": "SAWYER",
        "authorized_official_middle_name": "COLEY",
        "authorized_official_title_or_position": "FOUNDER, CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "607-742-0890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PURE Primary and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.