MRS. AMANDA TRACY RIVERA (NPI# 1568973618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568973618 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA TRACY RIVERA |
| Credential | PMHNP |
| Practice Address |
701 Seneca St Ste 646c Buffalo NY 14210-1351 |
| Mailing Address |
171 Brooks Ave Rochester NY 14619-2455 |
| Practice Telephone | 7169954450 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
676126 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F402924 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NURSE PRACTITIONER IN PSYCHIATRY | F402924 | 01 |
| NY | REGISTERED PROFESSIONAL NURSE LICENCE | 676126 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699279406 | Amanda Alicia Rivera | Behavior Technician | 148 Wilshire Blvd Ste 148, Casselberry, FL 32707-5372 | 2018-03-19 |
| 1497119416 | Amanda Rivera | Behavioral Analyst | 109 N Arbor Ridge Dr, Allen, TX 75002-0627 | 2016-04-06 |
| 1134542194 | Amanda Marie Rivera | Social Worker | 11361 Sw 64th St, Miami, FL 33173-1076 | 2014-01-28 |
| 1215126651 | Amanda Rivera | Psychologist | 11740 Dublin Blvd Ste 206, Dublin, CA 94568-2825 | 2007-10-22 |
| 1497387534 | Amanda Marie Rivera | Behavior Technician | 225 Broadhollow Rd Ste 402, Melville, NY 11747-4899 | 2020-02-06 |
| 1821631094 | Amanda Leigh Rivera | Behavioral Analyst | 3202 Mallard Ln, Gretna, LA 70056-7795 | 2019-10-21 |
| 1699236562 | Amanda Rivera | Behavior Technician | 1638 Windsor St, San Bernardino, CA 92407-3364 | 2019-03-25 |
| 1831644392 | Amanda Rivera | Social Worker | 808 5th Ave, Des Moines, IA 50309-1307 | 2016-08-24 |
| 1164893004 | Amanda M Rivera | Counselor | 140 High St, Springfield, MA 01105-1442 | 2015-10-19 |
| 1831566355 | Amanda Rivera | Nurse Anesthetist, Certified Registered | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2015-09-01 |
| Street Address |
701 SENECA ST STE 646C |
| City | BUFFALO |
| State | NY |
| Zip Code | 14210-1351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922095249 | Michael Evan Zionts | Family Medicine | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2005-10-03 |
| 1528543329 | Eric Irvin Bartz | Nurse Practitioner | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-09-27 |
| 1538641139 | Nataliia Vasylchuk | Nurse Practitioner | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-08-30 |
| 1316443096 | Connect Medical, P.C. | General Practice | 701 Seneca St Ste 646c, Buffalo, NY 14210 | 2018-04-02 |
| 1922502087 | Jaime Michelle Leppard | Registered Nurse | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-03-22 |
| 1144722042 | Tanvir Hoque Shagar | Nurse Practitioner | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2018-03-06 |
| 1669985578 | Lyndsey Milcarek | Physician Assistant | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2017-11-14 |
| 1306368618 | Hillary Gesel | Physician Assistant | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2017-07-10 |
| 1205382165 | Joann Liberta | Registered Nurse | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2016-08-31 |
| 1245682939 | Sunni R Kneeland | Registered Nurse | 701 Seneca St Ste 646c, Buffalo, NY 14210-1351 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346764461 | Elijah J Ventura | Emergency Medical Technician, Basic | 71 Sage Ave, Upper, Buffalo, NY 14210 | 2017-07-31 |
| 1235401308 | Carolyn Krajewski | Licensed Practical Nurse | 49 Duerstein St., Buffalo, NY 14210 | 2012-02-03 |
| 1578884474 | Amanda Lee Holman | Physical Therapist | 51 St John's Parkside, Buffalo, NY 14210 | 2010-06-15 |
| 1205082906 | Elizabeth Stom | Physical Therapist | 51 St, John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2008-08-13 |
| 1215106919 | Colette E Kurzius | Speech-Language Pathologist | 51 St John Parkside, Buffalo, NY 14210 | 2008-02-27 |
| 1043497936 | Karen Marlene Hazel | Speech-Language Pathologist | 51 St. John's Parkside, Buffalo, NY 14210 | 2008-01-23 |
| 1922161322 | Mary Kathleen Betz | Physician Assistant | Landmark Health, 701 Seneca St Suite 646, Buffalo, NY 14210 | 2006-12-18 |
| 1184638538 | Keith Lewin Hosmer | Chiropractor | 154 Cazenovia Street, Buffalo, NY 14210 | 2006-07-28 |
| 1811925944 | Marcia Langa | Registered Nurse | 2040 Seneca Street, Buffalo, NY 14210 | 2006-06-29 |
| 1093142838 | Margaret Mary Buckley | Psychologist | 51 St. John's Parkside, Baker Victory Services, Buffalo, NY 14210 | 2013-10-10 |
| Find all providers in zip 14210 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| 1578176160 | Rachelle Camelle De La Cruz | Nurse Practitioner | 255 Delaware Ave Ste 400, Buffalo, NY 14202-2016 | 2020-08-25 |
| 1265054894 | James E Koch | Nurse Practitioner | 701 Seneca St Ste 416, Buffalo, NY 14210-1351 | 2020-05-18 |
| 1881078004 | Pamela Anne Almeter | Nurse Practitioner | 462 Grider St Rm 1168, Buffalo, NY 14215-3021 | 2015-07-17 |
| 1326421702 | Shirley Frieh | Nurse Practitioner | University At Buffalo Counseling Services, 120 Richmond Quad, Buffalo, NY 14261-0001 | 2015-07-03 |
| 1407146558 | Natasha C Pearson | Nurse Practitioner | 325 Cornwall Ave, Buffalo, NY 14215-3101 | 2011-04-11 |
| 1831419001 | Suzanne Marie Miller | Nurse Practitioner | 652 Delaware Ave, Suite 204, Buffalo, NY 14202 | 2010-06-10 |
| 1073163531 | Ehs, Inc. | Nurse Practitioner | 206 S Elmwood Ave, Buffalo, NY 14201-2398 | 2019-09-17 |
| 1013569979 | Alyssa Christine Weissinger | Nurse Practitioner | 1050 Niagara St, Buffalo, NY 14213-2001 | 2019-07-11 |
| Find all providers in BUFFALO | ||||
Please comment or provide details below to improve the information on MRS. AMANDA TRACY RIVERA.
| 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.