Individual provider Active NPI

Amie Lyn Muehlnickel

  • Registered Nurse
  • Kenmore, NY
National Provider Identifier
1306366091
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
499911-1 Issued in NY
Practice address
262 Woodward Ave
Kenmore, NY 14217-1539
Phone
(716) 566-7771
Fax
(716) 873-0564
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 499911-1 NY Primary

Addresses

Primary practice location

262 Woodward Ave
Kenmore, NY 14217-1539

Mailing address

262 Woodward Ave
Kenmore, NY 14217-1539
Phone (716) 566-7771

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

State licenses

LicenseStateTypeSpecialty
499911-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. PastSince Oct 5, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1306366091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 WOODWARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171539",
            "telephone_number": "716-566-7771",
            "fax_number": "716-873-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 WOODWARD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171539",
            "telephone_number": "716-566-7771",
            "fax_number": "716-873-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUEHLNICKEL",
        "first_name": "AMIE",
        "middle_name": "LYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "499911-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.