Active NPI
Diana B Kachurek, CPNP
- Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1992763700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F380466
- Practice address
- 219 Bryant St
Buffalo, NY 14222-2006 - Phone
- (716) 878-7386
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F380466 | NY | Primary |
Addresses
Primary practice location
219 Bryant St
Buffalo, NY 14222-2006
Mailing address
2903 Cleveland Ave
Niagara Falls, NY 14305-3305
Phone (716) 878-7386
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| INDEPENDENT HEALTH | Other | NY | 9512429 |
| 02388181 | Medicaid | NY | |
| BLUE CROSS | Other | NY | 000560868001 |
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F380466 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1992763700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2903 CLEVELAND AVE",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143053305",
"telephone_number": "716-878-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHUREK",
"first_name": "DIANA",
"middle_name": "B",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F380466",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "9512429",
"identifier": "INDEPENDENT HEALTH",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02388181",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "000560868001",
"identifier": "BLUE CROSS",
"state": "NY"
}
],
"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 Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.