LAURIE B DAHL (NPI# 1881087245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881087245 |
Entity Type | Individual |
Full Name | LAURIE B DAHL |
Credential | FNP |
Practice Address |
701 Seneca St Ste 646c Buffalo NY 14210-1351 |
Mailing Address |
204 W 9th St Medford OR 97501-3135 |
Practice Telephone | 7169954450 |
Mailing Telephone | 5413045223 |
Mailing Fax Number | 9494373529 |
Enumeration Date | 2015-03-10 |
Last Update Date | 2019-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 20150076NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
201500076NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201500076NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
204 W 9th St, Medford, OR 97501 | 5413045223 | 9494373529 |
Street Address |
701 SENECA ST STE 646C |
City | BUFFALO |
State | NY |
Zip Code | 14210-1351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922095249 | Michael Evan Zionts | Family Medicine | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2005-10-03 |
1528543329 | Eric Irvin Bartz | Nurse Practitioner | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-09-27 |
1538641139 | Nataliia Vasylchuk | Nurse Practitioner | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-08-30 |
1316443096 | Connect Medical, P.C. | General Practice | 701 Seneca St Ste 646c, Buffalo, NY 14210 | 2018-04-02 |
1922502087 | Jaime Michelle Leppard | Registered Nurse | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-03-22 |
1144722042 | Tanvir Hoque Shagar | Nurse Practitioner | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-03-06 |
1669985578 | Lyndsey Milcarek | Physician Assistant | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2017-11-14 |
1568973618 | Amanda Tracy Rivera | Registered Nurse | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2017-10-17 |
1306368618 | Hillary Gesel | Physician Assistant | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2017-07-10 |
1205382165 | Joann Liberta | Registered Nurse | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2016-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346764461 | Elijah J Ventura | Emergency Medical Technician, Basic | 71 Sage Ave, Upper, Buffalo, NY 14210 | 2017-07-31 |
1235401308 | Carolyn Krajewski | Licensed Practical Nurse | 49 Duerstein St., Buffalo, NY 14210 | 2012-02-03 |
1578884474 | Amanda Lee Holman | Physical Therapist | 51 St John's Parkside, Buffalo, NY 14210 | 2010-06-15 |
1205082906 | Elizabeth Stom | Physical Therapist | 51 St, John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2008-08-13 |
1215106919 | Colette E Kurzius | Speech-Language Pathologist | 51 St John Parkside, Buffalo, NY 14210 | 2008-02-27 |
1043497936 | Karen Marlene Hazel | Speech-Language Pathologist | 51 St. John's Parkside, Buffalo, NY 14210 | 2008-01-23 |
1922161322 | Mary Kathleen Betz | Physician Assistant | Landmark Health, 701 Seneca St Suite 646, Buffalo, NY 14210 | 2006-12-18 |
1184638538 | Keith Lewin Hosmer | Chiropractor | 154 Cazenovia Street, Buffalo, NY 14210 | 2006-07-28 |
1811925944 | Marcia Langa | Registered Nurse | 2040 Seneca Street, Buffalo, NY 14210 | 2006-06-29 |
1093142838 | Margaret Mary Buckley | Psychologist | 51 St. John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2013-10-10 |
Find all providers in zip 14210 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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1194132415 | Mobile Physician Services Pllc | Nurse Practitioner | 640 Ellicott St, Suite 105, Buffalo, NY 14203-1245 | 2014-07-18 |
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1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
1477171684 | Rejane Duarte | Nurse Practitioner | 2600 Netherland Ave Ste 104, Bronx, NY 10463-4813 | 2020-07-14 |
1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
1598381535 | Xue Qin Gao | Nurse Practitioner | 71-44 160th St. Unit 1, Flushing, NY 11365-3088 | 2020-06-24 |
1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
1487276002 | Rosemary Elizabeth Carro | Nurse Practitioner | 21 Adams Farm Rd, Katonah, NY 10536-3166 | 2020-05-18 |
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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.