AMANDA L FREDETTE (NPI# 1629554837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629554837 |
| Entity Type | Individual |
| Full Name | AMANDA L FREDETTE |
| Credential | RN |
| Practice Address |
600 Sprague Rd Memphis NY 13112-9743 |
| Practice Telephone | 3154803891 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
494249 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173421 | Amanda N Fredette | Physician Assistant | 102 Valley Rd, Middletown, RI 02842-5237 | 2019-03-15 |
| Street Address |
600 SPRAGUE RD |
| City | MEMPHIS |
| State | NY |
| Zip Code | 13112-9743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366551491 | Johanna Whitney Povlock | Occupational Therapist | 7057 Kingdom Rd, Memphis, NY 13112-8702 | 2006-08-30 |
| 1679197974 | Billi-jo Fulton | Nurse Practitioner | 6932 Guyder Rd, Memphis, NY 13112-8711 | 2020-06-02 |
| 1437508892 | David J Abbatiello | Driver | 1116 Morgan Rd, Memphis, NY 13112-8717 | 2016-06-07 |
| 1497982367 | Jessie James Dwyer | Licensed Practical Nurse | 1120 Morgan Rd, Memphis, NY 13112-8717 | 2009-06-17 |
| 1639528730 | Abbatrans, LLC. | Taxi | 1116 Morgan Rd, Memphis, NY 13112-8717 | 2016-06-09 |
| 1497933659 | Joan M. Reid | Counselor | 6633 Bennetts Corners Rd, Memphis, NY 13112-8726 | 2008-02-08 |
| 1568910560 | Erica Troia Comstock | Physician Assistant | 7193 Farnham Rd, Memphis, NY 13112-8764 | 2016-09-19 |
| 1396918033 | Amy Lynne Miller | Licensed Practical Nurse | 5856 Fowler Rd, Memphis, NY 13112-8784 | 2008-04-02 |
| 1295965663 | Jenniffer Lee Hrovat | Registered Nurse | 5825 Fikes Rd, Memphis, NY 13112-9770 | 2009-07-20 |
| 1558905638 | Sarah A Brouty | Registered Nurse | 1302 Powerhouse Rd, Memphis, NY 13112-9795 | 2019-11-01 |
| Find all providers in zip 13112 | ||||
| Taxonomy Code | 163WI0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251898 | Joelle Amanda Busman | Registered Nurse | 25 Marget Ann Ln, Suffern, NY 10901-3314 | 2020-10-08 |
| 1386269751 | Melissa Odom | Registered Nurse | 975 Liberty Ave Apt 4a, Brooklyn, NY 11208-1978 | 2020-06-11 |
| 1255984613 | Raushanah A. Smith | Registered Nurse | 141 Madison St., #1, Brooklyn, NY 11216 | 2019-07-24 |
| 1699216986 | Michael Eastman | Registered Nurse | 6938a Thursby Ave, Arverne, NY 11692-1138 | 2017-03-20 |
| 1336517978 | Jeanette Collazo | Registered Nurse | 569 Old Mountain Rd, Port Jervis, NY 12771-3262 | 2015-09-14 |
| 1386921419 | Andrea Michele Chrissides | Registered Nurse | 42 Sterns Ct, Farmingdale, NY 11735-1972 | 2011-11-03 |
| 1063718666 | Helen Onyinyechi Iwu | Registered Nurse | 13212 159th St, Jamaica, NY 11434-2926 | 2011-01-31 |
| 1518135813 | Joy Evoh | Registered Nurse | 1400 Pelham Pkwy S Bldg 16, Bronx, NY 10461-1119 | 2008-02-20 |
| 1396351748 | Daniel Moldwin | Registered Nurse | 45 S Service Rd, Plainview, NY 11803-4100 | 2020-09-21 |
| 1871088559 | Mariela Letizia Deleon | Registered Nurse | 535 5th Ave, New York, NY 10017-3620 | 2018-06-26 |
| Find all providers with the same taxonomy | ||||
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| 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.