Sheryl Urczyk, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

673512-1 Issued in NY

Practice address

1001 11TH St
Trott Access Center
Niagara Falls, NY 14301-1201

Phone

(716) 278-8110

Fax

(716) 278-8111

NPI assigned

Sep 27, 2015

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

Other names 1

• Sheryl Nienburg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1376913814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "address_2": "SUITE 2A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011156",
            "telephone_number": "716-282-1228",
            "fax_number": "716-282-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 11TH ST",
            "address_2": "TROTT ACCESS CENTER",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011201",
            "telephone_number": "716-278-8110",
            "fax_number": "716-278-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URCZYK",
        "first_name": "SHERYL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "673512-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "NIENBURG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Addiction (Substance Use Disorder) Registered Nurse in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Addiction (Substance Use Disorder) Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; 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.