Nicole Andrus, DAOM, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006927 Issued in NY

Practice address

135 Delaware Ave
Buffalo, NY 14202-2416

Phone

(716) 218-9338

NPI assigned

Jan 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1003154543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 SWAN ST UNIT 103",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032624",
            "telephone_number": "614-218-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022416",
            "telephone_number": "716-218-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DAOM, L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006927",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000301",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00112000",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198.001041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Andrew, LCSW
• Shonna Andrews, PHARMD
• Ted James Andrews, PH.D., M.D.
• Shannon Lynne Andriatch
• Georgia Androutsopoulou, M.D.
• Katharine M Andrzejak, MS CCC-SLP
• Jenna Mae Andrzejewski, PHARM.D.
• Renee Lynn Andrzejewski, ANP
• Jacquelyn Marie Andula, MPH, RN
• Anesthesia Dynamics of New York P.C

• Acupuncturist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.