Organization Active NPI

Vivian K. Gerard, RN Nurse Practitioner in Psychiatry P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Island, NY
National Provider Identifier
1952123721
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VIVIAN K. GERARD, RN NURSE PRACTITIONER IN PSYCHIATRY P.C.
Practice address
101 Lang Blvd Ste 1
Grand Island, NY 14072-1601
Phone
(716) 830-5787
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Tracy A Klapp
Title
Office Manager
Phone
(716) 453-0242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

101 Lang Blvd Ste 1
Grand Island, NY 14072-1601

Mailing address

101 Lang Blvd Ste 1
Grand Island, NY 14072-1601
Phone (716) 830-5787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241224000025 NY Part B Supplier - Clinic/Group Practice 1759818107 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1952123721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LANG BLVD STE 1",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721601",
            "telephone_number": "716-830-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LANG BLVD STE 1",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721601",
            "telephone_number": "716-830-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN K. GERARD, RN NURSE PRACTITIONER IN PSYCHIATRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "KLAPP",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-453-0242"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.