Amy Jean

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

728876 Issued in NY

Practice address

1540 Maple Rd
Williamsville, NY 14221-3698

Phone

(716) 568-6670

NPI assigned

May 3, 2024

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

• Amy Petersen Former name

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": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1598512964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 LYNDALE LN",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599788",
            "telephone_number": "716-989-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213698",
            "telephone_number": "716-568-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "728876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PETERSEN",
            "credential": "RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Edwin Jauch Jr., D.C.
• Sahrish Javed, LPN
• Theresa Jaworski, PH.D.
• Amy Jay, OT
• Karen Theresa Jaynes, RPH
• Niccole Michelle Jefferlone, D.C.
• Jeanette Jenkins, LPN
• Jennifer George Walsh MD PC
• Jennifer Mancuso Urban LCSW PLLC
• Jenny L Cascio Registered Nurse Psychiatric Nurse Practitioner P.C.

• Registered Nurse First Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Registered Nurse First Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.