Active NPI
Kyle Ciehomski, RN, PMHNP
- Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1437746609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 405985
- Practice address
- 430 Niagara St
Buffalo, NY 14201-1886 - Phone
- (716) 566-1870
- Fax
- (716) 551-0891
- NPI assigned
- Dec 22, 2020
- Last updated
- Oct 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 405985 | NY | Primary |
| Registered Nurse | 163W00000X | 800434 | NY |
Addresses
Primary practice location
430 Niagara St
Buffalo, NY 14201-1886
Mailing address
430 Niagara St
Buffalo, NY 14201-1886
Phone (716) 566-1870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800434 | NY | MD | Registered Nurse |
| 405985 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestself Behavioral Health, Inc. | Current | Accepting new patients | |
| Bestself Behavioral Health, Inc. | Current | Accepting new patients |
Locations
254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894
430 Niagara St
Buffalo, NY 14201
Phone (716) 853-1335
899 Main St
Buffalo, NY 14203
Phone (716) 862-6544
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1437746609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011886",
"telephone_number": "716-566-1870",
"fax_number": "716-551-0891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011886",
"telephone_number": "716-566-1870",
"fax_number": "716-551-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIEHOMSKI",
"first_name": "KYLE",
"credential": "RN, PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-22",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "405985",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "800434",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.