Active NPI
Amy L Southard, FNP
- Family Nurse Practitioner
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F3308631
- Practice address
- 60 Maple Road
Williamsville, NY 14221-2917 - Phone
- (716) 626-5250
- Fax
- (716) 332-2218
- NPI assigned
- Apr 13, 2006
- Last updated
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F3308631 | NY | Primary |
Addresses
Primary practice location
60 Maple Road
Williamsville, NY 14221-2917
Mailing address
60 Maple Road
Williamsville, NY 14221-2917
Phone (716) 626-5250
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000560074006 | Other | NY | BCBS OF WNY |
| 040511000415 | Other | NY | FIDELIS |
| 9512030 | Other | NY | INDEPENDENT HEALTH |
| 00026499401 | Other | NY | UNIVERA |
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 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5300 Military Rd
Lewiston, NY 14092-1903
Phone (716) 297-4800
5320 Military Rd
Lewiston, NY 14092-2149
Phone (716) 297-1701
6001 Shimer Dr
Lockport, NY 14094-6412
Phone (716) 342-3026
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3308631 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount St. Mary's Hospital of Niagara Falls | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Mercy Hospital of Buffalo | Current | Accepting new patients | |
| Mount St. Mary's Hospital of Niagara Falls | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Kenmore Mercy Hospital | Past | Accepting new patients | |
| Gastrointestinal Group | Past | Accepting new patients | |
| Mount St. Mary's Hospital of Niagara Falls | Past | Accepting new patients | |
| Highgate Medical Group | Past | Accepting new patients | |
| Highgate Medical Group | Past | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
5320 Military Rd
Ste 107
Lewiston, NY 14092
Phone (716) 297-1701
6001 Shimer Dr
Lockport, NY 14094
Phone (716) 419-0400
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Interoperability endpoints
- asouthard20316@direct.chsbuffalo.org
Organizations & group practices 15
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.
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Rehabilitation Hospital Unit
- Kenmore, NY
- NPI 1164436283
-
dba Kenmore Mercy Professional Services
- Pulmonary Disease Physician
- Kenmore, NY
- NPI 1659909752
-
- Skilled Nursing Facility
- Buffalo, NY
- NPI 1144262908
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1417285891
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
dba Sisters of Charity Professional Services
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1568090660
-
- Gastroenterology Physician
- Rochester, NY
- NPI 1114977048
-
- Family Medicine Physician
- Amherst, NY
- NPI 1326158593
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
dba Mount St. Mary's Hospital and Health Center
- General Acute Care Hospital
- Lewiston, NY
- NPI 1043394745
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1609830942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MAPLE ROAD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212917",
"telephone_number": "716-626-5250",
"fax_number": "716-332-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MAPLE ROAD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212917",
"telephone_number": "716-626-5250",
"fax_number": "716-332-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUTHARD",
"first_name": "AMY",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F3308631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF WNY",
"identifier": "000560074006",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040511000415",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9512030",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026499401",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.