Individual provider Active NPI

Amanda Sawicki, NP

  • Adult Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1689240145
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
310186 Issued in NY
Practice address
1360 N Forest Rd Ste 115
Williamsville, NY 14221-1200
Phone
(716) 650-3000
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 310186 NY Primary

Addresses

Primary practice location

1360 N Forest Rd Ste 115
Williamsville, NY 14221-1200

Mailing address

1360 N Forest Rd Ste 115
Williamsville, NY 14221-1200
Phone (716) 650-3000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810002346 NY Practitioner - Nurse Practitioner 9830593003 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
310186NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ord Physiatry, PC CurrentSince Apr 29, 2025 Accepting new patients
Dia Invision Health CurrentSince Apr 1, 2022 Accepting new patients
Brain & Spine Medical Services PLLC Current Accepting new patients

Locations

873 Route 45
Ste 102
New City, NY 10956
Phone (845) 354-7779

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1689240145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N FOREST RD STE 115",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211200",
            "telephone_number": "716-650-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N FOREST RD STE 115",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211200",
            "telephone_number": "716-650-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWICKI",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.