Amy Kirker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

315340 Issued in NY

Practice address

1003 Park St
Ogdensburg, NY 13669-3911

Phone

(315) 713-9090

NPI assigned

May 10, 2023

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

Practice roles

Locations

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

• Citizen Advocates, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malone, NY
  • NPI 1780619064
  NPD

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1295425544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 BOLAND RD",
            "city": "RICHVILLE",
            "state": "NY",
            "postal_code": "136813129",
            "telephone_number": "315-323-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 PARK ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136693911",
            "telephone_number": "315-713-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKER",
        "first_name": "AMY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Aldridge King, CRT
• Jacob H Kinney, PEER SUPPORT
• Jamie Kinney
• Michele Marie Kinney, RDH
• Stacie Lee Kinney, SPECIAL ED TEACHER
• Mary Knight, FNP
• Pazliddin Kobilov, DDS
• Vijayasimha Kotha, MD
• Dennis J Kotlove, M.D.
• KPH Healthcare Services, Inc.

• Licensed Practical Nurse in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.