Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kym M Cannizzaro, NP

Individual provider Adult Health Nurse Practitioner · NPI 1861912206

Kym M Cannizzaro, NP is a Nurse Practitioner in Clarence, New York. Qualified in 2017, 9 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

9097 Main St
Clarence, NY 14031-1965
Phone: (716) 759-4938
Fax: (716) 759-4938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10175 Niagara Falls Blvd Ste 1, Niagara Falls, NY 14304-2941 — (716) 759-4938

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 308214 (NY)

Record details

NPI number1861912206
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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