Active NPI
Susan Adrian, PNP
- Pediatric Nurse Practitioner
- Williamsville, NY
National Provider Identifier
1902148794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F381180
- Practice address
- 11 Kingswaye Dr
Williamsville, NY 14221-1703 - Phone
- (716) 870-7144
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F381180 | NY | Primary |
Addresses
Primary practice location
11 Kingswaye Dr
Williamsville, NY 14221-1703
Mailing address
11 Kingswaye Dr
Williamsville, NY 14221-1703
Phone (716) 870-7144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F381180 | NY | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1902148794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 KINGSWAYE DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211703",
"telephone_number": "716-870-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 KINGSWAYE DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142211703",
"telephone_number": "716-870-7144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADRIAN",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F381180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
- Marina Theresa Adams, FNP
- Timothy Martin Adams, M.D.
- Sara Aderman
- Melissa Adinolfe
- Peter G Adrian, M.D.
- Adult Health NP House Calls PC
- Adult Medical Services, P.C.
- Advanced Allergy and Asthma Care of Western New York P.C.
- Advanced Cardiac Surgical Associates, PLLC
- Advanced Pain & Wellness Institute, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.