Active NPI
Amy Shults
- Registered Dietitian
- Lockport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0072861
- Practice address
- 6411B Dysinger Rd
Lockport, NY 14094-9398 - Phone
- (716) 266-6056
- Fax
- (716) 332-6412
- NPI assigned
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0072861 | NY | Primary |
Addresses
Primary practice location
6411B Dysinger Rd
Lockport, NY 14094-9398
Mailing address
6411B Dysinger Rd
Lockport, NY 14094-9398
Phone (716) 266-6056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6411 Dysinger Rd
Suite 2
Lockport, NY 14094-9398
Phone (716) 266-6056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0072861 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Nutrition Counseling PLLC | Dietitian, Registered | Current | Accepting new patients |
| Ams Nutrition Counseling | Dietitian, Registered | Past | Accepting new patients |
Locations
6411 Dysinger Rd
#2
Lockport, NY 14094
Phone (716) 266-6056
64 Davison Ct
Lockport, NY 14094
Phone (716) 433-0327
6411 Dysinger Rd
#B
Lockport, NY 14094
Phone (716) 266-6056
Organizations & group practices 2
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.
-
- Registered Dietitian
- Lockport, NY
- NPI 1184102170
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1770856296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411B DYSINGER RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949398",
"telephone_number": "716-266-6056",
"fax_number": "716-332-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411B DYSINGER RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949398",
"telephone_number": "716-266-6056",
"fax_number": "716-332-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTS",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-14",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "0072861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.