AMANDA DIRENZO (NPI# 1659799526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659799526 |
| Entity Type | Individual |
| Full Name | AMANDA DIRENZO |
| Credential | PA-C |
| Practice Address |
11 Main St Wakefield RI 02879-3562 |
| Practice Telephone | 4017833384 |
| Mailing Telephone | 4017833384 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00752 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11 MAIN ST |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-3562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013301621 | Robert Desrosiers | Nurse Practitioner | 11 Main St, Store # 2065, Wakefield, RI 02879-3562 | 2015-03-20 |
| 1689005266 | John Twomey Jr. | Nurse Practitioner | 11 Main St, Wakefield, RI 02879-3562 | 2013-12-06 |
| 1750687661 | Megan E. Lessard | Physician Assistant | 11 Main St, Wakefield, RI 02879-3562 | 2011-02-10 |
| 1821192626 | Rhode Island Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 11 Main St, Wakefield, RI 02879-3562 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1124413190 | Alyssa Millar | Physician Assistant | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2015-04-06 |
| 1154459428 | Cameron Mckenna Biller | Physician Assistant | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2007-03-01 |
| 1679684062 | Stephanie Stevens | Physician Assistant | 70 Kenyon Ave, Suite 326, Wakefield, RI 02879-4239 | 2006-08-31 |
| 1003873001 | Cheryl A Trager | Physician Assistant | 46 Holley St, Suite 2, Wakefield, RI 02879-3325 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243311 | Sara Lafreniere | Physician Assistant | 18 Millers Brook Dr, Cumberland, RI 02864-6132 | 2020-07-24 |
| 1962962589 | Delaney Horsley | Physician Assistant | 472 W Fountain St Apt 1, Providence, RI 02903-3570 | 2019-03-20 |
| 1154807717 | Ocean State Primary, LLC | Physician Assistant | 300 Toll Gate Rd Ste 101b, Warwick, RI 02886-4447 | 2018-07-17 |
| 1447753728 | Joseph Desrosiers II | Physician Assistant | 712 Putnam Pike Unit 2, Chepachet, RI 02814-1404 | 2018-03-13 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1275601056 | Michael Anthony Mcgourty | Physician Assistant | 93 Thames St, Newport, RI 02840-2536 | 2006-12-01 |
| 1629168901 | Ri Departmenf of Corrections | Physician Assistant | 39 Howard Ave, Cranston, RI 02920-3001 | 2006-10-15 |
| 1962598516 | Walter Deluca | Physician Assistant | 684 Warren Ave, East Providence, RI 02914-1405 | 2006-10-04 |
| 1225138597 | Hope Ellen Burns | Physician Assistant | 1145 Main St, Pawtucket, RI 02860-4807 | 2006-09-25 |
| 1184723520 | Steven A Occhiuti | Physician Assistant | 1 Office Parkway, Suite 201, East Providence, RI 02914 | 2006-09-22 |
| 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.