AMANDA LEIGH ORTIZ (NPI# 1104312875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104312875 |
| Entity Type | Individual |
| Full Name | AMANDA LEIGH ORTIZ |
| Credential | MSN, RN, PMHNP-BC |
| Practice Address |
55 Fruit St # 8 Boston MA 02114-2621 |
| Mailing Address |
277 Lost Lake Dr Groton MA 01450-1981 |
| Practice Telephone | 0000000000 |
| Mailing Telephone | 7813086223 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | RN2313229 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2313229 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 295 Varnum Ave, Lowell, MA 018542134 | 0000000000 | |
| Va Boston Healthcare System, 940 Belmont Street Building 2, Brockton, MA 02301 | 7748263411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174033476 | Amanda Ortiz | Specialist | 605 Emerald St Apt 1, Brooklyn, NY 11208-5103 | 2017-10-02 |
| 1346780459 | Amanda Maria Ortiz | Massage Therapist | 1221 Evergreen Park Dr Sw Apt E6, Olympia, WA 98502-5985 | 2017-03-08 |
| 1760008742 | Amanda Louise Ryan Ortiz | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-06-24 |
| 1730680026 | Amanda Ortiz | Home Health Aide | 5571 E Apple Ave, Muskegon, MI 49442-3071 | 2018-02-22 |
| 1043736721 | Amanda Ortiz | Behavior Technician | 6867 Southpoint Dr N, Jacksonville, FL 32216-8043 | 2017-08-15 |
| 1588184477 | Amanda Ortiz | Counselor | 955 W Center St Ste 12a, Manteca, CA 95337-7327 | 2017-06-22 |
| 1275915290 | Amanda Ortiz | Behavioral Analyst | 1000 Galloping Hill Rd, Union, NJ 07083-7989 | 2015-06-25 |
| 1093100042 | Amanda Ann Ortiz | Occupational Therapist | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2015-04-06 |
| 1497870836 | Amanda Jill Ortiz | Nurse Practitioner | 1 Elliot Way, Elliot Hospital, Nicu, 5th Floor, Manchester, NH 03103-3502 | 2007-03-21 |
| Street Address |
55 FRUIT ST # 8 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427683598 | Jill Elizabeth Rackliffe | Nurse Practitioner | 55 Fruit St # 8, Boston, MA 02114-2621 | 2020-03-09 |
| 1326505066 | Rebecca Pearce-probst | Physician Assistant | 55 Fruit St # 8, Boston, MA 02114-2621 | 2019-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| 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 |
|---|---|---|---|---|
| 1376153494 | Melissa Broughton | Nurse Practitioner | 110 Salem St Apt 4, Boston, MA 02113-1763 | 2020-08-04 |
| 1780239483 | Dallas Michelle Ducar | Nurse Practitioner | 55 Fruit St Fl Hall4, Boston, MA 02114-2696 | 2019-08-08 |
| 1295258259 | Joseph F Toomey IIi | Nurse Practitioner | 48 Melrose St., Boston, MA 02116-2409 | 2017-07-21 |
| 1871950733 | Rebecca Donadio | Nurse Practitioner | 84 State Stareet, Suite 660, Boston, MA 02109-2200 | 2016-01-24 |
| 1811320559 | Alexandra Paige Libon Strack | Nurse Practitioner | 10 Newbury St Fl 4, Boston, MA 02116-3290 | 2013-08-16 |
| 1174806046 | Donald L Payette Jr. | Nurse Practitioner | 40 River St Unit 208, Boston, MA 02126-2983 | 2011-09-27 |
| 1134759665 | Sokhira Christina Yang | Nurse Practitioner | Boston Medical Center, 88 E Newton Street, Boston, MA 02118 | 2020-01-23 |
| 1730661042 | Brittany Catherine Hughes | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2018-09-04 |
| 1528549425 | Adekemi Victoria Adeleye | Nurse Practitioner | 1 Boston Medical Center Place, Boston, MA 02118 | 2018-08-28 |
| 1174022693 | Ally Integrated Healthcare LLC | Nurse Practitioner | 30 Newbury St Ste 3, Boston, MA 02116-3239 | 2018-02-10 |
| Find all providers in BOSTON | ||||
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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.