Connie Jo Jozwiak Shields, PH.D., ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3024851 Issued in NY

Practice address

8201 Main St Ste 1
Williamsville, NY 14221-6046

Phone

(716) 626-6320

Fax

(716) 626-6324

NPI assigned

Jan 26, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1982909792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 MAIN STREET - SUITE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142210000",
            "telephone_number": "716-626-6320",
            "fax_number": "716-626-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MAIN ST STE 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216046",
            "telephone_number": "716-626-6320",
            "fax_number": "716-626-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOZWIAK SHIELDS",
        "first_name": "CONNIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PH.D., ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "3024851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Josker, LPN
• Judy Ann Joy-Pardi, M.D.
• Athalie Joy, PH.D.
• Marissa Joy
• Diana Elizabeth Joyner, PHARMD
• Allyson Rae Jozwiak, MSW
• Josefina Juarbe
• Jennifer Judelsohn
• Susanne W Judkins, LPN
• Cynthia Marie Juhre, REGISTERED NURSE

• Adult Health Nurse Practitioner in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.