Individual provider Active NPI

Tina Winter, NP

  • Adult Health Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1992791743
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302463 Issued in NY
Practice address
4820 W Taft Rd
Suite 209
Liverpool, NY 13088-2800
Phone
(315) 488-6215
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302463 NY Primary

Addresses

Primary practice location

4820 W Taft Rd
Suite 209
Liverpool, NY 13088-2800

Mailing address

4820 W Taft Rd
Suite 209
Liverpool, NY 13088-2800
Phone (315) 488-6215

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
I20100302000408 NY Practitioner - Nurse Practitioner 1850436841 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F302463NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice PLLC CurrentSince Aug 1, 2024 Accepting new patients
Cardiovascular Specialists of Central New York PLLC CurrentSince Sep 9, 2023 Accepting new patients
North Medical PC Current Accepting new patients
Crouse Medical Practice, PLLC CurrentSince Aug 1, 2024 Accepting new patients
St Josephs Medical PC CurrentSince Jul 1, 2018 Accepting new patients
Emergency Care Services of New York, P.C. Past Accepting new patients

Locations

4820 W Taft Rd
Ste 209
Liverpool, NY 13088
Phone (315) 448-6125

4820 W Taft Rd
Ste 201
Liverpool, NY 13088
Phone (315) 234-0906

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1992791743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "address_2": "SUITE 209",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-488-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W TAFT RD",
            "address_2": "SUITE 209",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130882800",
            "telephone_number": "315-488-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "TINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.