KELLY AMEDICK
NPI 1053034777
Licensed Practical Nurse in Batavia, NY

Active since September 20, 2022
278 BANK ST, BATAVIA, NY 14020(585) 344-0584(585) 300-4526 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Amedick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY AMEDICK (NPI 1053034777) is an individual licensed practical nurse in Batavia, New York, licensed in New York (228612) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1053034777
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY AMEDICK
Location Address278 BANK STBatavia, NY 14020-1616
Mailing Address9484 Putnam RdBatavia, NY 14020-9797 · (585) 815-3820
Fax(585) 300-4526
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
NPI 1053034777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 228612
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
278 BANK ST, Batavia, NY 14020

Other Names 1

Former Name (1)Kelly Johnson

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
278 BANK ST
BATAVIA, NY 14020
Physical Therapist
278 BANK ST
BATAVIA, NY 14020
Psychologist
278 BANK ST
BATAVIA, NY 14020
Custodial Care Facility (Adult Care Home)
278 BANK ST
BATAVIA, NY 14020
Skilled Nursing Facility
278 BANK ST
BATAVIA, NY 14020
Clinic/Center (Adult Day Care)
278 BANK ST
BATAVIA, NY 14020
Clinic/Center (Adult Day Care)
278 BANK ST
BATAVIA, NY 14020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Amedick's NPI number?

The NPI number for Kelly Amedick is 1053034777. It was assigned to this individual provider in the NPPES registry on September 20, 2022. The provider is also known as Kelly Johnson.

Where is Kelly Amedick located?

Kelly Amedick practices at 278 Bank St, Batavia, NY 14020. The listed phone number is (585) 344-0584.

What is Kelly Amedick's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly Amedick was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.