Individual provider Active NPI

Amanda Zdolinski, LPN

  • Licensed Practical Nurse
  • Cheektowaga, NY
National Provider Identifier
1922854215
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
350199 Issued in NY
Practice address
1526 Walden Ave Ste 400
Cheektowaga, NY 14225-4985
Phone
(716) 895-6700
Fax
(716) 332-4488
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 350199 NY Primary

Addresses

Primary practice location

1526 Walden Ave Ste 400
Cheektowaga, NY 14225-4985

Mailing address

1526 Walden Ave Ste 400
Cheektowaga, NY 14225-4985
Phone (716) 895-6700

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
350199NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Erie Mental Health Services Inc Multi-Specialty CurrentSince Apr 28, 2024 Accepting new patients

Locations

1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1922854215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE STE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254985",
            "telephone_number": "716-895-6700",
            "fax_number": "716-332-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 WALDEN AVE STE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254985",
            "telephone_number": "716-895-6700",
            "fax_number": "716-332-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDOLINSKI",
        "first_name": "AMANDA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "350199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.