The Nurse Practitioner in Family Health Practice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE NURSE PRACTITIONER IN FAMILY HEALTH PRACTICE

Practice address

4085 Seneca St
West Seneca, NY 14224-3000

Phone

(716) 997-0111

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Amy Jordan, NPNPI 1225353808

Title

Owner

Phone

(716) 997-0111

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Marie Jordan, FNP

  • Family Nurse Practitioner
  • West Seneca, NY
  • NPI 1225353808
  NPD (past) Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1255052312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FAAHS DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243000",
            "telephone_number": "716-997-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NURSE PRACTITIONER IN FAMILY HEALTH PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-997-0111",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS STATE NURSE PRACTITIONER LICENSE",
            "identifier": "F345378",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Medent",
            "affiliation": "N",
            "address_1": "4085 Seneca St",
            "city": "West Seneca",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142243000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Autumn B Thompson, BT, NYCPS

• Family Nurse Practitioner in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.