AMANDA MARIE LEWIS (NPI# 1275018962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275018962 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE LEWIS |
| Credential | PA-C |
| Practice Address |
80 Seymour St Hartford Hospital Surgery Dept Hartford CT 06102-5037 |
| Mailing Address |
80 Seymou Street Hartford Hospital Surgery Dept Hartford CT 06102-5037 |
| Practice Telephone | 8609725022 |
| Mailing Telephone | 8609725022 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 004281 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
004281 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
004281 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619458130 | Amanda Maureen Lewis | Counselor | 88 Auckland St Apt 3, Dorchester, MA 02125-3327 | 2018-08-23 |
| 1780178038 | Amanda Lewis | Speech-Language Pathologist | 1781 W Placita De Vanegas, Tucson, AZ 85704-1000 | 2018-06-20 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1902328735 | Amanda S Lewis | Social Worker | 66 Hermans Ln, Crossville, TN 38555-4314 | 2017-07-13 |
| 1780110445 | Amanda Lewis | Physician Assistant | 6086 S Iola Way, Englewood, CO 80111-5705 | 2017-05-02 |
| 1518360171 | Amanda R Lewis | Social Worker | 1405 N Green Mount Rd Ste 230, O Fallon, IL 62269-3494 | 2014-09-26 |
| 1659793032 | Amanda Lewis | Behavioral Analyst | 6915 Shavelson St, Houston, TX 77055-7630 | 2014-01-20 |
| 1972949048 | Amanda Lewis | Allergy & Immunology | 10607 Quaker Ave Unit 102, Lubbock, TX 79424-8465 | 2013-05-16 |
| 1467535138 | Amanda G Lewis | Nurse Practitioner | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2006-10-24 |
| 1427091842 | Amanda Jane Lewis | Dentist | 2220 N Monroe St, Decatur, IL 62526-6304 | 2006-06-14 |
| Street Address |
80 SEYMOUR ST HARTFORD HOSPITAL SURGERY DEPT |
| City | HARTFORD |
| State | CT |
| Zip Code | 06102-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942207394 | Avinash Prasad | Psychiatry & Neurology | 80 Seymour St, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 | 2005-06-30 |
| 1215535935 | Lataya Hewitt | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-10-14 |
| 1629685938 | Nicole Martina | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-09-30 |
| 1477168011 | Cassidy Goodwin | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2020-09-10 |
| 1215541933 | Molly Zarnick | Speech-Language Pathologist | 80 Seymour St, Hartford, CT 06106-3300 | 2020-09-01 |
| 1306457320 | Taylor Merrick | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-08-13 |
| 1538770474 | Carlyn Esposito | Registered Nurse | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-13 |
| 1679184121 | Kimberly M Davis | Nurse Anesthetist, Certified Registered | 80 Seymour St, Hartford, CT 06106-3315 | 2020-08-10 |
| 1679182109 | Elsayed Elsayed Hassan Ibrahim | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06102-8000 | 2020-07-30 |
| 1780292615 | Jordan Steven Totaro | Student in an Organized Health Care Education/Training Program | 80 Seymour St, Hartford, CT 06106-3315 | 2020-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1942734058 | Giorgi Kveladze | Internal Medicine | 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 | 2017-04-14 |
| 1902352248 | Safina Hafeez | Student in an Organized Health Care Education/Training Program | 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 | 2016-08-28 |
| 1154774990 | Neelam Khetpal | Internal Medicine | 80 Seymour St Bldg 502, Hartford, CT 06102 | 2016-07-17 |
| 1588073613 | Gene Pershwitz | Internal Medicine | 80 Seymour St Dept Jb704, Hartford, CT 06102 | 2014-08-02 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1548271141 | Pasquale F Finelli | Psychiatry & Neurology | 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 | 2006-08-10 |
| 1265474340 | Gary Francis Nobert | Obstetrics & Gynecology | Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 | 2006-06-12 |
| Find all providers in zip 06102 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1063037091 | Andrew Jon Mccarthy | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3315 | 2020-06-16 |
| 1417570722 | Leah Pawelczyk | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1528688132 | Tess B Repaci | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3300 | 2020-04-23 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1407486277 | Ashley Weisse | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-01-21 |
| 1053954222 | Nicole Ann Dietzel | Physician Assistant | 282 Washington St, Hartford, CT 06106-3322 | 2019-10-21 |
| 1952951121 | Lindsay Nicole Palma | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2019-09-18 |
| Find all providers in HARTFORD | ||||
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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.