Richard Michael Guertin, REGISTERED NURSE

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

365930-1 Issued in NY

Practice address

100 N Lake Dr
Apt #45
Orchard Park, NY 14127

Phone

(716) 397-7146

Fax

(585) 380-9026

NPI assigned

Oct 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1942963640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SCHOOL ST UNIT 1167",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141277051",
            "telephone_number": "716-397-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N LAKE DR",
            "address_2": "APT #45",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-397-7146",
            "fax_number": "585-380-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERTIN",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "365930-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT OF EDUCATION",
            "identifier": "364930-1",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "omh.ny.gov",
            "affiliation": "N",
            "endpointDescription": "OMH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 School St Unit 1167",
            "city": "Orchard Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141277051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "omh.ny.gov",
            "affiliation": "N",
            "endpointDescription": "OMH",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 School St Unit 1167",
            "city": "Orchard Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141277051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tonya Lea Gruttaria, PNP
• Matthew J Guarino, LMSW
• Amanda Rose Gueli
• Sarahlyn Marie Guerin, RN
• Matthew Guerinot, DO
• Cheryl Ann Guggemos, OT
• Mackenzie Gullo
• Meghan D. Gullo, SLP
• Leonard Gurevich, MD
• Jennifer Gurske-Deperio, MD

• Community Health Registered Nurse in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.