Amanda N Fredette (NPI# 1083173421, PAC ID# 1153662473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1083173421 |
| PAC ID by PECOS | 1153662473 |
| Professional Enrollment ID | I20190412001830 |
| Full Name | Amanda N Fredette |
| Organization Legal Name | ASPIRE DERMATOLOGY LLC |
| Address |
102 Valley Rd Middletown RI 02842-5237 |
| Phone Number | 4012391800 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1759550643 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 102 Valley Rd, Middletown, RI 02842-5237 | 4012391800 | ASPIRE DERMATOLOGY LLC |
| Organization Legal Name | ASPIRE DERMATOLOGY LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fallon R Beyer | Physician Assistant | Aspire Dermatology LLC | 51 Long Wharf Mall, Newport, RI 02840-2906 |
| Elizabeth Hallstrom | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Rebbecca Shea | Physician Assistant | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Jason R Michaels | Dermatology | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Sarah Elizabeth Belden | Dermatology | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Susan M Bordonaro | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Meghan King | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| April Bell Brosnan | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Matthew Clifford Willett | Dermatology | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Pamela Gadbaw | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Street Address |
102 VALLEY RD |
| City | MIDDLETOWN |
| State | RI |
| Zip | 02842-5237 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Hallstrom | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Rebbecca Shea | Physician Assistant | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Jason R Michaels | Dermatology | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Sarah Elizabeth Belden | Dermatology | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Susan M Bordonaro | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Meghan King | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| April Bell Brosnan | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Matthew Clifford Willett | Dermatology | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Pamela Gadbaw | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Alyssa Coogan | Nurse Practitioner | Aspire Dermatology LLC | 102 Valley Rd, Middletown, RI 02842-5237 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Anthony Rispoli | Optometry | Specs Eyecare Inc | 58 E Main Rd, Middletown, RI 02842-4912 |
| Alessi Rispoli | Optometry | Specs Eyecare Inc | 58 E Main Rd, Middletown, RI 02842-4912 |
| Katherine Rispoli | Optometry | Specs Eyecare Inc | 58 E Main Rd, Middletown, RI 02842-4912 |
| Brian P Hogan | Oral Surgery | Oral Surgery and Dental Implant Center Inc | 65 W Main Rd, Middletown, RI 02842-4933 |
| Joanne B Castaneda | Oral Surgery | Oral Surgery and Dental Implant Center Inc | 65 W Main Rd, Middletown, RI 02842-4933 |
| David K Fiaschetti | Oral Surgery | Oral Surgery and Dental Implant Center Inc | 65 W Main Rd, Middletown, RI 02842-4933 |
| Joanne Le | Optometry | Rhode Island Optometrics LLC | 99 E Main Rd, Middletown, RI 02842-4983 |
| Maria A Paradis | Optometry | Rhode Island Optometrics LLC | 99 E Main Rd, Middletown, RI 02842-4983 |
| David R Gabriel | Optometry | Eye Health Associates of Rhode Island Inc | 73 Valley Rd, Middletown, RI 02842-5234 |
| Jade Ann Medeiros | Physical Therapy | Silver Fern Practice, LLC | 73 Valley Rd, Middletown, RI 02842-5234 |
| Find all physicians in zip 02842 | |||
| City | MIDDLETOWN |
| Zip Code | 02842 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MIDDLETOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Amanda N Fredette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.