Individual provider Active NPI

Amanda Harding, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1972024438
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341883-1 Issued in NY
Practice address
2697 Main St
Buffalo, NY 14214-1701
Phone
(716) 831-2200
Fax
(716) 831-8836
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341883-1 NY Primary

Addresses

Primary practice location

2697 Main St
Buffalo, NY 14214-1701

Mailing address

114 University Ave
Rochester, NY 14605-2929
Phone (585) 546-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171124000055 NY Practitioner - Nurse Practitioner 4880951078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Central and Western New York Inc 19 clinicians

Practice addresses (Care Compare)

15 Webster St
North Tonawanda, NY 14120-5816
Phone (716) 694-6454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F341883-1NYMDFamily Nurse Practitioner
341883NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Central and Western New York, Inc CurrentSince Oct 15, 2017 Accepting new patients
Planned Parenthood of the Rochester/Syracuse Region Past Accepting new patients
Planned Parenthood of Western New York Inc. Past Accepting new patients

Locations

222 W Main St
Batavia, NY 14020
Phone (585) 344-0516

2697 Main St
Buffalo, NY 14214
Phone (585) 371-8373

60 E Amherst St
Buffalo, NY 14214
Phone (716) 831-2200

15 Lafayette Ave
Canandaigua, NY 14424
Phone (585) 344-0631

750 Portage Rd
Niagara Falls, NY 14301
Phone (716) 831-2200

15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225

114 University Ave
Rochester, NY 14605
Phone (585) 546-2771

1120 E Genesee St
Syracuse, NY 13210
Phone (315) 475-5540

240 Center Rd
West Seneca, NY 14224
Phone (716) 675-1012

Interoperability endpoints

  • Direct secure messaging: amanda.gullo.p4@direct.usppny.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1972024438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 UNIVERSITY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052929",
            "telephone_number": "585-546-2771",
            "fax_number": "585-454-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2697 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141701",
            "telephone_number": "716-831-2200",
            "fax_number": "716-831-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "AMANDA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341883-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.