Amy Dawn Guagliardo, PTA,LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

324571-1 Issued in NY

Practice address

1527 Kenyon Rd
Ontario, NY 14519-8880

Phone

(716) 392-8504

NPI assigned

Feb 2, 2012

Last updated

Mar 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1750653028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 W UNION ST",
            "address_2": "N/A",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131316",
            "telephone_number": "585-683-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 KENYON RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145198880",
            "telephone_number": "716-392-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAGLIARDO",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "PTA,LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "324571-1",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NY",
            "license": "002069-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susann Frink, RN
• Hannah Galloway
• Philip Robert Gilson, D.D.S.
• Ashley Elizabeth Gluszek, PHARM.D.
• Ashley Grimshaw
• Emily Guerrera, MS CCC-SLP
• Joseph Hanley
• Ashley Helfer, RN
• Kolleen Heslor, PSY.D.
• Casey Hibbard

• Licensed Practical Nurse in Ontario, NY
• Providers in Ontario, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.