Individual provider Active NPI

Jacquelyn Marie Andula, MPH, RN

  • Administrator Registered Nurse
  • Buffalo, NY
National Provider Identifier
1992969638
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
424856-1 Issued in NY
Practice address
95 Franklin St
RM. 925
Buffalo, NY 14202-3925
Phone
(716) 858-7731
Fax
(716) 858-8701
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 424856-1 NY Primary

Addresses

Primary practice location

95 Franklin St
RM. 925
Buffalo, NY 14202-3925

Mailing address

95 Franklin St
RM. 925
Buffalo, NY 14202-3925
Phone (716) 858-7731

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
424856-1NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1992969638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 FRANKLIN ST",
            "address_2": "RM. 925",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023925",
            "telephone_number": "716-858-7731",
            "fax_number": "716-858-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 FRANKLIN ST",
            "address_2": "RM. 925",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023925",
            "telephone_number": "716-858-7731",
            "fax_number": "716-858-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDULA",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MPH, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "424856-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 11, 2008; 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.