Heather A Dailor, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F381441 Issued in NY

Practice address

1 College Circle
Lauderdale Center for Health and Counseling
Geneseo, NY 14454

Phone

(585) 245-5736

Fax

(585) 245-5744

NPI assigned

Oct 21, 2006

Last updated

Mar 24, 2016By 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 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pediatric Development Clinic

  • Developmental - Behavioral Pediatrics Physician
  • Rochester, NY
  • NPI 1346286895
  Medicare reassignment NPD
• University at Buffalo Pediatric Associates Inc

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1912928599
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1902989338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLLEGE CIRCLE",
            "address_2": "LAUDERDALE CENTER FOR HEALTH AND COUNSELING",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454",
            "telephone_number": "585-245-5736",
            "fax_number": "585-245-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLLEGE CIRCLE",
            "address_2": "LAUDERDALE CENTER FOR HEALTH AND COUNSELING",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "14454",
            "telephone_number": "585-245-5736",
            "fax_number": "585-245-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILOR",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381441",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "475043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02259869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chuck Livingston PA PLLC
• Cindy Pond, LCSW, PLLC
• Brooke Coburn
• Peter H. Cormack, PH.D.
• Peter Michael D'Amigo, RPH
• Taylor Damato, NP
• Katie Dempsey, FNP-BC
• Michelle Di Tusa, OD
• Michael J Dolan, O.D.
• Carey Bernini Dowling, PH.D.

• Pediatric Nurse Practitioner in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.