Individual provider Active NPI

Kim M Stancampiano, LPN

  • Licensed Practical Nurse
  • East Amherst, NY
National Provider Identifier
1861760993
Registry record updated Dec 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
183785-1 Issued in NY
Practice address
5 Hobnail Dr
East Amherst, NY 14051-1872
Phone
(716) 631-0702
NPI assigned
Dec 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 183785-1 NY Primary

Addresses

Primary practice location

5 Hobnail Dr
East Amherst, NY 14051-1872

Mailing address

5 Hobnail Dr
East Amherst, NY 14051-1872
Phone (716) 631-0702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
183785-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322870400000",
    "number": "1861760993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOBNAIL DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511872",
            "telephone_number": "716-631-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HOBNAIL DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511872",
            "telephone_number": "716-631-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCAMPIANO",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "183785-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.