Active NPI
Candice Nimon-Gerrity, NURSE PRACTITIONER
- Family Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1942361639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F332786
- Practice address
- 565 Abbott Rd
Department of Surgery
Buffalo, NY 14220-2039 - Phone
- (716) 826-7000
- Fax
- (716) 828-3472
- NPI assigned
- Dec 13, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F332786 | NY | Primary |
Addresses
Primary practice location
565 Abbott Rd
Department of Surgery
Buffalo, NY 14220-2039
Mailing address
565 Abbott Road
Department of Surgery
Buffalo, NY 14220
Phone (716) 826-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02345288 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Physician Services PLLC | Past | Accepting new patients | |
| Mobile Primary Care Family Nurse Practitioners, PLLC | Family | Past | Accepting new patients |
| Mobile Nurse Practitioners | Past | Accepting new patients | |
| Mobile Nurse Practitioners | Family | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1740219633
-
- Family Nurse Practitioner
- Williamsville, NY
- NPI 1851317903
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1194132415
-
- Family Nurse Practitioner
- Buffalo, NY
- NPI 1669673349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1942361639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 ABBOTT ROAD",
"address_2": "DEPARTMENT OF SURGERY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-826-7000",
"fax_number": "716-828-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT RD",
"address_2": "DEPARTMENT OF SURGERY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202039",
"telephone_number": "716-826-7000",
"fax_number": "716-828-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIMON-GERRITY",
"first_name": "CANDICE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F332786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02345288",
"state": "NY"
}
],
"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 Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.