Active NPI
Amy Jean Gagliardo, RN
- Community Health Registered Nurse
- Orchard Park, NY
National Provider Identifier
1205599206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 604852-01
- Practice address
- 3041 Op Rd
Orchard Park, NY 14127-1238 - Phone
- (716) 345-3218
- NPI assigned
- Oct 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 604852-01 | NY | Primary |
Addresses
Primary practice location
3041 Op Rd
Orchard Park, NY 14127-1238
Mailing address
5720 Benning Rd
West Falls, NY 14170-9754
Phone (716) 345-3218
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 604852-01 | NY | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634342400000",
"number": "1205599206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 BENNING RD",
"city": "WEST FALLS",
"state": "NY",
"postal_code": "141709754",
"telephone_number": "716-345-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3041 OP RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271238",
"telephone_number": "716-345-3218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIARDO",
"first_name": "AMY",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-16",
"last_updated": "2021-10-16",
"certification_date": "2021-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NY",
"license": "604852-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.