Individual provider Active NPI

Taurean Tomorrow Deandreas, REGISTERED NURSE

  • Home Health Registered Nurse
  • Buffalo, NY
National Provider Identifier
1952816159
Registry record updated Dec 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
728277 Issued in NY
Practice address
267 Georgia St
Buffalo, NY 14201-2307
Phone
(716) 243-2762
NPI assigned
Dec 10, 2017
Last updated
Dec 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 728277 NY Primary
Pain Management Registered Nurse 163WP0000X 728277 NY
Rehabilitation Registered Nurse 163WR0400X 728277 NY

Addresses

Primary practice location

267 Georgia St
Buffalo, NY 14201-2307

Mailing address

267 Georgia St
Buffalo, NY 14201-2307
Phone (716) 243-2762

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
728277NYMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512864000000",
    "number": "1952816159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GEORGIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012307",
            "telephone_number": "716-243-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GEORGIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012307",
            "telephone_number": "716-243-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANDREAS",
        "first_name": "TAUREAN",
        "middle_name": "TOMORROW",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-10",
        "last_updated": "2017-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "728277",
            "primary": true
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NY",
            "license": "728277",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NY",
            "license": "728277",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 10, 2017; 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.