AMANDA ROSE BAKOS (NPI# 1144838384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144838384 |
| Entity Type | Individual |
| Full Name | AMANDA ROSE BAKOS |
| Credential | NP |
| Practice Address |
218 Marion St Boston MA 02128-1758 |
| Mailing Address |
224 Court Rd Winthrop MA 02152-2825 |
| Practice Telephone | 6176358372 |
| Practice Fax Number | 6175358376 |
| Mailing Telephone | 7818581400 |
| Mailing Fax Number | 6172079623 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
233859 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
218 MARION ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02128-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562976 | Kristen Pompey | Speech-Language Pathologist | 244 Paris St Apt 3e, East Boston, MA 02128 | 2020-09-11 |
| 1073122271 | Candice Elene Newmyer | Nurse Practitioner | East Boston Neighborhood Health Center, 10 Gove St, East Boston, MA 02128 | 2020-07-24 |
| 1881155414 | Lucas Felipe Bastos Horta | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02128 | 2019-03-27 |
| 1245729763 | Josie A Kramer | Registered Nurse | 213 Webster Street, Unit 1, Boston, MA 02128 | 2018-05-10 |
| 1457875775 | Bremen Physical Therapy | Clinic/Center | 464 Bremen St. Suite 4b, East Boston, MA 02128 | 2017-07-28 |
| 1174907588 | Vivian Karina Ibanez | Specialist | 130 Condor Street, East Boston, MA 02128 | 2015-07-15 |
| 1326459546 | Excel Physical Therapy, Inc. | Clinic/Center | 2 Neptune Rd Suite 171, East Boston, MA 02128 | 2014-05-09 |
| 1427394824 | D.a.w., L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Maverick Sq, East Boston, MA 02128 | 2012-12-13 |
| 1356600019 | Rebekah Bronwyn Sheppard | Doula | 253 Webster Street, Boston, MA 02128 | 2012-05-15 |
| 1629340484 | Shahi Lavail Smart Sr. | Counselor | 512 Border Street, #d, East Boston, MA 02128 | 2012-02-08 |
| Find all providers in zip 02128 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1629549977 | Michelle Nicole Deonarine | Nurse Practitioner | Center for Spina Bifida and Spinal Cord Conditions, Boston Childrens Hospital Hu 390. 300 Longwood Ave, Boston, MA 02115-0211 | 2018-12-16 |
| 1871060905 | Chloe Faye Banks | Nurse Practitioner | 300 Longwood Ave Dept Farley2, Boston, MA 02115-5724 | 2018-10-26 |
| 1801262050 | Kate Mysak | Nurse Practitioner | 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 | 2015-08-11 |
| 1639501331 | Rebecca Marie Stevens | Nurse Practitioner | 300 First Ave, Boston, MA 02129 | 2013-08-05 |
| 1811290380 | Tracy Mahoney | Nurse Practitioner | 300 Longwood Ave Unit 9nw, Boston, MA 02115 | 2010-12-06 |
| 1639407513 | Courtney Loper Risley | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Farley Building Room 403, Boston, MA 02115 | 2009-12-03 |
| 1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
| 1801063367 | Vivian Wilson Williams | Nurse Practitioner | 300 Longwood Ave Hunnewell 3, Childrens Hospital Boston Department of Urology, Boston, MA 02115 | 2008-05-14 |
| Find all providers in BOSTON | ||||
Please comment or provide details below to improve the information on AMANDA ROSE BAKOS.
| 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.