Amy Julicher, RD, CDE, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005597-1 Issued in NY

Practice address

149 Traverse Blvd
Buffalo, NY 14223-1013

Phone

(716) 713-5059

NPI assigned

Jul 19, 2006

Last updated

Oct 13, 2021By the provider in NPPES

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 identifiers 1

Other names 1

• Ms. Amy Suwalski Other 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1770503328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 TRAVERSE BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231013",
            "telephone_number": "716-713-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 TRAVERSE BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231013",
            "telephone_number": "716-713-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULICHER",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005597-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WNY",
            "identifier": "000528327001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SUWALSKI",
            "prefix": "MS.",
            "credential": "RD, CDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Virginia Judson, D.D.S.
• Jessica Juergens, LMHC
• Lisa Juergens
• Amy Julian, LPN
• Isabella Julian
• Julie Hasselbeck, LCSW PLLC
• Julius P Horvath DC PC
• Ryan Julius, MD
• Erika A Julyan, OTR
• Christopher Daniel Duva Jumper, DC

• Registered Dietitian in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.