Amanda O'Farrell, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

778253 Issued in NY

Practice address

3174 E River Rd
Grand Island, NY 14072-1982

Phone

(716) 471-9402

NPI assigned

Sep 11, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1851940845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3174 E RIVER RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721982",
            "telephone_number": "716-471-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3174 E RIVER RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721982",
            "telephone_number": "716-471-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FARRELL",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "778253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL NURSE",
            "identifier": "778253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Nerber, MS.ED
• Kalista Nizialik
• Thomas J Notaro, D.C.
• Erin Nyhart
• Julie Hayes O'Connor, LCAT
• Jessica Ellen O'Kell, PHARM D
• Alexander Olczak
• Julia Osborne, PT, DPT
• Palmo Psychology Services, PLLC
• Karen J. Panzarella

• Medical-Surgical Registered Nurse in Grand Island, NY
• Providers in Grand Island, NY by specialty
• Medical-Surgical Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.