Farida L Mukhtasimova, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024102417 Issued in NY

Practice address

1540 Maple Rd
Buffalo, NY 14221-3647

Phone

(716) 568-3600

NPI assigned

Feb 22, 2025

Last updated

Feb 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1275339962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 WILDWING DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201383",
            "telephone_number": "716-533-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MAPLE RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142213647",
            "telephone_number": "716-568-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKHTASIMOVA",
        "first_name": "FARIDA",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "2024102417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Muffoletto, LCSW
• Kerisa Lynne Muffoletto, RDH
• Anthony G Mugleston, CRNA
• Mufid W Muhammad, RN
• Debduti Mukhopadhyay, MD
• Krishna P Mukkamala, MD
• Diane Mulcahy
• Kimberly Mulcahy, PHARMD
• Danielle Mulder
• Margaret Mary Mulderig, PT, MS

• Family Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, 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 Feb 22, 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.

Verify at the official NPI Registry.