MRS. LUCILLE M. KINGSTON (NPI# 1386778850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386778850 |
| Entity Type | Individual |
| Full Name | MRS. LUCILLE M. KINGSTON |
| Credential | PNP |
| Practice Address |
3580 Sheridan Dr Amherst NY 14226-1645 |
| Mailing Address |
651 Delaware Ave Buffalo NY 14202-1001 |
| Practice Telephone | 7163629730 |
| Practice Fax Number | 7163629729 |
| Mailing Telephone | 7163629730 |
| Mailing Fax Number | 7163629729 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
38046462 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02501586 | 05 |
| Street Address |
3580 SHERIDAN DR |
| City | AMHERST |
| State | NY |
| Zip Code | 14226-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367946 | Christopher P Poje | Otolaryngology | 3580 Sheridan Dr, Suite 115, Amherst, NY 14226-1645 | 2005-06-22 |
| 1720378722 | Suzanne J. Meyers, M.d., P.C. | Clinic/Center | 3580 Sheridan Dr, Ste 110, Amherst, NY 14226-1645 | 2011-04-11 |
| 1104081660 | Joann Lynn Bialecki | Specialist | 3580 Sheridan Dr, Suite 130, Amherst, NY 14226-1645 | 2008-07-24 |
| 1609065390 | Pediatric Ent Associates, Pllc | Physician Assistant | 3580 Sheridan Dr, Amherst, NY 14226-1645 | 2007-10-18 |
| 1881888626 | Joseph R. Berardi, Md PC | Ophthalmology | 3580 Sheridan Dr, Suite 150, Amherst, NY 14226-1645 | 2007-09-05 |
| 1285842500 | Ellen Denise Devere | Obstetrics & Gynecology | 3580 Sheridan Dr, Suite 130, Amherst, NY 14226-1645 | 2007-05-18 |
| 1851509186 | Urban Women's Medical, P.C. | Obstetrics & Gynecology | 3580 Sheridan Dr, Suite 130, Amherst, NY 14226-1645 | 2007-05-18 |
| 1093860843 | University Ophthalmology Services Inc. | Ophthalmology | 3580 Sheridan Dr, Suite 115, Amherst, NY 14226-1645 | 2007-01-24 |
| 1356434666 | Buffalo Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 3580 Sheridan Dr, Suite 115, Amherst, NY 14226-1645 | 2006-10-02 |
| 1073564506 | James D Reynolds | Ophthalmology | 3580 Sheridan Dr, Suite 115, Amherst, NY 14226 | 2006-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1942846209 | Anthony Constance | Occupational Therapist | Excelsior Orthopaedics, 3925 Sheridan Drive, Amherst, NY 14226 | 2019-11-21 |
| 1730743931 | Mark Marcello | Physical Therapy Assistant | 4498 Main/harlem Rd Suite 24, Amherst, NY 14226 | 2019-04-24 |
| 1528531084 | Kimberly Girdlestone | Social Worker | 3960 Harlem Road, Suite 6b, Buffalo, NY 14226 | 2019-01-08 |
| 1043781503 | Justin Patrick Nelson | Physical Therapist | 4498 Main St. Suite 24, Amherst, NY 14226 | 2018-12-10 |
| 1962979195 | Meghan Jim Dougher | Student in an Organized Health Care Education/Training Program | 167 Darwin Dr., Snyder, NY 14226 | 2018-10-25 |
| 1790260982 | Orchard Park Dentalcare Pllc | Clinic/Center | 3302 Sheridan Dr, Buffalo, NY 14226 | 2018-10-03 |
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1790299832 | Medical Ecp of Western New York P C | Internal Medicine | 4330 Maple Rd Ste 102, Amherst, NY 14226 | 2017-11-28 |
| 1841709425 | Elisabeth Wagner | Physical Therapy Assistant | 4498 Main St., Suite 24, Amherst, NY 14226 | 2017-09-26 |
| Find all providers in zip 14226 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174810204 | James T Baxter | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2011-07-10 |
| 1992825483 | Norma E. Hallock | Nurse Practitioner | 31 Hall Dr, Amherst, MA 01002-2751 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.