Individual provider Active NPI

Karen Sue Lauricella, NP

  • Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1962452722
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F3337071 Issued in NY
Practice address
1900 Ridge Rd
Ste 130
West Seneca, NY 14224-3332
Phone
(716) 675-0707
Fax
(716) 961-3706
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F3337071 NY Primary

Addresses

Primary practice location

1900 Ridge Rd
Ste 130
West Seneca, NY 14224-3332

Mailing address

1900 Ridge Rd
Ste 130
West Seneca, NY 14224-3332
Phone (716) 675-0707

Other identifiers 1

IdentifierTypeStateIssuer
000560781003OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611001067 NY Practitioner - Nurse Practitioner 1658354378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

1900 Ridge Rd
Suite 130
West Seneca, NY 14224-3332
Phone (716) 675-0707

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3337071NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC Current Accepting new patients
Trinity Medical Wny PC CurrentSince Jan 1, 2023 Accepting new patients
Mobile Nurse Practitioners Past Accepting new patients
Mobile Nurse Practitioners Past Accepting new patients
Buffalo Spine Surgery, PLLC PastSince Sep 17, 2018 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

1900 Ridge Rd
Ste 130
West Seneca, NY 14224
Phone (716) 675-0707

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1962452722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 130",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-675-0707",
            "fax_number": "716-961-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RIDGE RD",
            "address_2": "STE 130",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243332",
            "telephone_number": "716-675-0707",
            "fax_number": "716-961-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURICELLA",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F3337071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000560781003",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.