MRS. AMANDA LEE ASSAF (NPI# 1235474339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235474339 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA LEE ASSAF |
| Credential | AGNP-C |
| Practice Address |
12 Wayne Memorial Dr Dartmouth MA 02747-3125 |
| Practice Telephone | 5089898734 |
| Mailing Telephone | 5089898734 |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2020-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AG09200089 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN275741 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12 WAYNE MEMORIAL DR |
| City | DARTMOUTH |
| State | MA |
| Zip Code | 02747-3125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205126000 | Cheryl Lee Pimentel | Nurse Practitioner | 39 Faunce Corner Rd . Suite 1, Dartmouth, MA 02747 | 2011-04-13 |
| 1740282706 | Donna P Hampton | Nurse Practitioner | 285 Old Westport Rd, Dartmouth, MA 02747-2356 | 2005-06-02 |
| 1265981682 | Kelly Erin Stone | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2016-09-27 |
| 1982002028 | Michelle Kallevik | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-12-05 |
| 1457784225 | Meagan Lee Fuertes | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2013-08-15 |
| 1497197610 | Nicholas A Ferreira | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2013-07-30 |
| 1326349879 | Nina M. Szulewski | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2010-11-15 |
| 1245546175 | Jeannette M Brash | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2010-08-30 |
| 1023258902 | Karen Lynne Rezendes | Nurse Practitioner | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2009-03-04 |
| 1467484949 | Linda Kampf | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2006-07-07 |
| Find all providers in DARTMOUTH | ||||
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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.