Shayna Douglas, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346706 Issued in NY

Practice address

2157 Main St
Buffalo, NY 14214-2648

Phone

(716) 862-1984

NPI assigned

Sep 27, 2021

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Medicare reassignment Care Compare group NPD
• Eastern Great Lakes Pathology PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Buffalo, NY
  • NPI 1467481564
  NPD
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  NPD
• Sisters of Charity Hospital of Buffalo New York

  dba Sisters of Charity Professional Services

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1568090660
  NPD
• Sisters of Charity Hospital of Buffalo, New York

  dba Sisters OB GYN Services

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1659396380
  NPD

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1972274298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST FL 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "SHAYNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Dotzler
• Patricia Doucette, NP
• Julie Rose Doud
• John Rankin Dougherty
• Jenna Douglas, M.S
• Winston George Douglas, MD
• Jonah Doustar, MD
• Bruce Duane Dove Sr.
• Eric John Dove, MD
• Gabrielle Dovey

• Family Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.