Amanda Corrisa Kalsih, R.N

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

691847 Issued in NY

Practice address

95 Evergreen Circle
Fairport, NY 14450

Phone

(585) 286-0073

NPI assigned

Oct 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1154724334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 EVERGREEN CIRCLE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-286-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 EVERGREEN CIRCLE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "14450",
            "telephone_number": "585-286-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALSIH",
        "first_name": "AMANDA",
        "middle_name": "CORRISA",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "691847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Julien, MA, LMHC
• Nabila Jutha, PT
• Haley Rose Kahl, M.S. CCC-SLP
• Suzanne Kahn, M.S.ED.
• Christine Marie Kaiser, LMSW
• Kristie Lynn Karelus, P.T.
• Brian Albert Karp, PHARMD
• Denise Payne Kasper, OTR/L
• Katherine M Whipple, MD, PC
• Johanna Marie Kaufmann, DPT

• Medical-Surgical Registered Nurse in Fairport, NY
• Providers in Fairport, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.