Active NPI
Alexandra Kiblin
- Physician Assistant
- Lockport, NY
National Provider Identifier
1154711331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018143
- Practice address
- 5875 S Transit Rd
Lockport, NY 14094-6340 - Phone
- (716) 514-5700
- NPI assigned
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018143 | NY | Primary |
Addresses
Primary practice location
5875 S Transit Rd
Lockport, NY 14094-6340
Mailing address
114 Sandra Dr
Cheektowaga, NY 14225-2310
Phone (716) 534-3038
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018143 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1154711331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 SANDRA DR",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252310",
"telephone_number": "716-534-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 S TRANSIT RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140946340",
"telephone_number": "716-514-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBLIN",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018143",
"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 Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.