Individual provider Active NPI

Amanda Ann Ulsifer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lockport, NY
National Provider Identifier
1043791205
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402514 Issued in NY
Practice address
5526 Niagara Street Ext
Lockport, NY 14094-1804
Phone
(716) 438-3429
Fax
(716) 438-3428
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402514 NY Primary

Addresses

Primary practice location

5526 Niagara Street Ext
Lockport, NY 14094-1804

Mailing address

335 Greengage Cir
East Amherst, NY 14051-2132
Phone (716) 861-4979

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

State licenses

LicenseStateTypeSpecialty
402514NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1043791205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 GREENGAGE CIR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512132",
            "telephone_number": "716-861-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 NIAGARA STREET EXT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941804",
            "telephone_number": "716-438-3429",
            "fax_number": "716-438-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULSIFER",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.