Kimberly Saundrea Aytch, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

284036-1 Issued in NY

Practice address

296 Lafayette Ave
Buffalo, NY 14213-1457

Phone

(716) 861-0291

NPI assigned

Jan 21, 2020

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jan 21, 2020.

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1962032789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 LAFAYETTE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131457",
            "telephone_number": "716-861-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 LAFAYETTE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131457",
            "telephone_number": "716-861-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYTCH",
        "first_name": "KIMBERLY",
        "middle_name": "SAUNDREA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "284036-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Ali Awan, M.D.
• Samreen Maqeeb Awan
• Bilal Ayach, MD, PHD,
• Shwe Aye
• Fathima Shehnaz Ayoobkhan, MD
• Farhan Azad
• Nabila Fatima Azam, M.D
• Melissa Anne Azaula, MD
• Alexis Lynn Aziz
• Ba Transport Services, Inc

• All providers in Buffalo, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.