Active NPI
Mary L Shaffer, FNP
- Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1902813892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F332235-1
- Practice address
- 3495 Bailey Ave
VA Western Ny Health Care System
Buffalo, NY 14215 - Phone
- (716) 834-9200
- Fax
- (716) 862-8632
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F332235-1 | NY | Primary |
Addresses
Primary practice location
3495 Bailey Ave
VA Western Ny Health Care System
Buffalo, NY 14215
Mailing address
375 Denrose Dr
Amherst, NY 14228
Phone (716) 691-3312
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 |
|---|---|---|---|
| F332235-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902813892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 DENROSE DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "14228",
"telephone_number": "716-691-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"address_2": "VA WESTERN NY HEALTH CARE SYSTEM",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215",
"telephone_number": "716-834-9200",
"fax_number": "716-862-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "MARY",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F332235-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.