Individual provider Active NPI

Arelys Ava Kammeraad

  • Adult Health Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1710791397
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
312202 Issued in NY
Practice address
3890A Sheridan Dr, 2ND Floor
Amherst, NY 14226-1723
Phone
(716) 250-2000
NPI assigned
Feb 4, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 312202 NY Primary

Addresses

Primary practice location

3890A Sheridan Dr, 2ND Floor
Amherst, NY 14226-1723

Mailing address

3980A Sheridan Dr FL 2
Amherst, NY 14226-1741
Phone (716) 250-2000

Other practice location 1

200 Sterling Dr
Orchard Park, NY 14127-1577
Phone (716) 250-2000

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
I20251027002639 NY Order and Referring Only - Nurse Practitioner 5193246619

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3980 Sheridan Dr
Amherst, NY 14226-1727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312202NYMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: arelys.kammeraad@dent.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1710791397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR FL 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741",
            "telephone_number": "716-250-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890A SHERIDAN DR, 2ND FLOOR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261723",
            "telephone_number": "716-250-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Sterling Dr",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271577",
            "country_code": "US",
            "telephone_number": "716-250-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMERAAD",
        "first_name": "ARELYS",
        "middle_name": "AVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.