NPIMap

Individual provider Active NPI

Kimberly Anne Volk, N.D. , F.N.P.

  • Family Nurse Practitioner
  • Gowanda, NY
National Provider Identifier
1205055738
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354596 Issued in NY
Practice address
1 School St
Gowanda, NY 14070-1133
Phone
(716) 241-7067
Fax
(833) 464-5024
NPI assigned
Apr 24, 2007
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354596 NY Primary
Naturopath 175F00000X 06-927 AZ

Addresses

Primary practice location

1 School St
Gowanda, NY 14070-1133

Mailing address

8775 Cottage Rd
South Dayton, NY 14138-9705
Phone (480) 518-1486

Other practice location 1

2164 E Broadway Rd
Tempe, AZ 85282-1766
Phone (480) 970-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218000786 NY Practitioner - Nurse Practitioner 4688101496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Chautauqua Center IncGroup PAC ID 7214178326, 35 clinicians

Practice addresses (Care Compare)

1 School St
Gowanda, NY 14070-1133
Phone (716) 241-7067

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
06-927AZMDNaturopath
354596NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Chautauqua Center, Inc CurrentSince Oct 14, 2024 Accepting new patients
Sonoran University of Health Sciences Naturopath Past Accepting new patients

Locations

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

10988 Bennett State Rd
Forestville, NY 14062
Phone (716) 732-7770

1 School St
Ste 107
Gowanda, NY 14070
Phone (716) 241-7067

Interoperability endpoints

  • Direct secure messaging: kimberly.volk.1@22211.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1205055738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 COTTAGE RD",
            "city": "SOUTH DAYTON",
            "state": "NY",
            "postal_code": "141389705",
            "telephone_number": "480-518-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCHOOL ST",
            "city": "GOWANDA",
            "state": "NY",
            "postal_code": "140701133",
            "telephone_number": "716-241-7067",
            "fax_number": "833-464-5024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2164 E Broadway Rd",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852821766",
            "country_code": "US",
            "telephone_number": "480-970-0000",
            "fax_number": "480-970-0003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLK",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "N.D. , F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354596",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "06-927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gowanda, NY

Sources for this page

Verify at the official NPI Registry.