KIMBERLY FAITH FEDKIW (NPI# 1447289236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447289236 |
| Entity Type | Individual |
| Full Name | KIMBERLY FAITH FEDKIW |
| Credential | FNP, ANP |
| Practice Address |
4267 Transit Rd Williamsville NY 14221-7205 |
| Practice Telephone | 7162040798 |
| Practice Fax Number | 7166322457 |
| Mailing Telephone | 7162040798 |
| Mailing Fax Number | 7166322457 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333039-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS/BLUE SHIEL | 00060970004 | 01 |
| NY | 02672984 | 05 | |
| NY | LICENSE | F333039-1 | 01 |
| NY | UNIVERA | 00027261403 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 665 Elm St, Buffalo, NY 142031104 | 7168452300 |
| Street Address |
4267 TRANSIT RD |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910036 | Nadare Sahim Alwan | Nurse Practitioner | 4267 Transit Rd, Williamsville, NY 14221-7205 | 2020-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476068 | Christine Margaret Goedvolk | Nurse Practitioner | 8207 Main St Ste 5, Williamsville, NY 14221-6060 | 2019-03-19 |
| 1801342068 | Lisa J Haase | Nurse Practitioner | 84 Lafayette Blvd, Williamsville, NY 14221-6410 | 2016-08-28 |
| 1770637175 | Ellen Marie Balon | Nurse Practitioner | 5530 Sheridan Drive, Suite 1b, Williamsville, NY 14221 | 2007-01-22 |
| 1083679443 | Karen O Burch | Nurse Practitioner | 215 Klein Rd, Williamsville, NY 14221-1713 | 2006-04-19 |
| 1609830942 | Amy L Southard | Nurse Practitioner | 60 Maple Road, Williamsville, NY 14221-2917 | 2006-04-13 |
| 1790756880 | Judy E Tomasini | Nurse Practitioner | 1000 Youngs Rd, Suite 104, Williamsville, NY 14221-2644 | 2006-01-28 |
| 1730789462 | Stacey Thompson | Nurse Practitioner | 1540 Maple Rd, Williamsville, NY 14221-3647 | 2020-10-30 |
| 1962015107 | Abigail Marie Foederer | Nurse Practitioner | 1800 Maple Rd, Williamsville, NY 14221-2749 | 2020-08-27 |
| 1487280731 | Kathryn Emily Fritzinger | Nurse Practitioner | 295 Essjay Rd, Williamsville, NY 14221-5795 | 2020-03-19 |
| 1801428842 | Tara Murphy | Nurse Practitioner | 1120 Youngs Rd, Williamsville, NY 14221-2695 | 2020-02-07 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on KIMBERLY FAITH FEDKIW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.