Individual provider Active NPI

Candice Nimon-Gerrity, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1942361639
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F332786 Issued in NY
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

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02345288MedicaidNY

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

OrganizationSpecialtyStatusNew patients
Mobile Physician Services PLLC PastSince Jan 1, 2015 Accepting new patients
Mobile Primary Care Family Nurse Practitioners, PLLC Family PastSince Jun 1, 2007 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.

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.

Verify at the official NPI Registry.