AMANDA C FENNICKS (NPI# 1316207061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316207061 |
| Entity Type | Individual |
| Full Name | AMANDA C FENNICKS |
| Practice Address |
1743 Hamburg St Schenectady NY 12304 |
| Mailing Address |
1743 Hamburg St Schenectady NY 12304-4602 |
| Practice Telephone | 5188473305 |
| Mailing Telephone | 5188473305 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 21810636 | NY | Nursing Service Providers |
| Street Address |
1743 HAMBURG ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780173682 | Aminah Alia Roberts | Registered Nurse | 200 Hillcrestave, Schenectady, NY 12304 | 2018-05-07 |
| 1871046870 | Katie Tonkin | Dentist | 445 Balltown Rd Ste 2, Schenectady, NY 12304 | 2016-07-27 |
| 1508226655 | Karen Verret | Specialist | 230 Oregon Ave, Schenectady, NY 12304 | 2016-03-02 |
| 1104161850 | Northeast Parent and Child Society | Local Education Agency (LEA) | 327 Abbottsford Road, Schenectady, NY 12304 | 2012-12-06 |
| 1639445232 | Lisa Marie Langer | Pharmacist | 2037 State Street, Schenectady, NY 12304 | 2012-03-28 |
| 1487922167 | Mary Ellen B Nagel | Registered Nurse | 1821 Hamburg St, Schenectady, NY 12304 | 2011-12-08 |
| 1699084624 | Paula Frances Williams | Speech-Language Pathologist | 2566 Balltown Road, Schenectady, NY 12304 | 2010-09-24 |
| 1558547133 | Fraterrigo Eye Physicians &surgeons, Pllc | Ophthalmology | 700 Mcclellan Street, St. Clare's Medical Arts Building, Schenectady, NY 12304 | 2008-01-14 |
| 1104022730 | William T. Tirone | Dentist | 600 Mcclellan Street, Schenectady, NY 12304 | 2007-06-21 |
| 1750420501 | State of New York | Intermediate Care Facility, Mentally Retarded | Balltown & Consaul Rds, Schenectady, NY 12304 | 2007-02-06 |
| Find all providers in zip 12304 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972143477 | Elizabeth Ferris | Licensed Practical Nurse | 1848 Tower St, Schenectady, NY 12303-4007 | 2020-01-13 |
| 1699310714 | Erica Stewart | Licensed Practical Nurse | 1161 Chrisler Ave, Schenectady, NY 12303-1242 | 2019-11-12 |
| 1043851066 | Antonietta Jacobs | Licensed Practical Nurse | 1094 Roberta Rd, Schenectady, NY 12303-3795 | 2019-10-01 |
| 1316590102 | Jacqueline Rodriguez | Licensed Practical Nurse | 972 Florence Ave, Schenectady, NY 12303-1506 | 2019-07-20 |
| 1124681440 | Nekeita Bowlin | Licensed Practical Nurse | 2418 Broadway Apt 3, Schenectady, NY 12306-3941 | 2019-04-22 |
| 1336608488 | Shelomi Narine | Licensed Practical Nurse | 1054 Garner Ave, Schenectady, NY 12309-5704 | 2019-03-18 |
| 1255812095 | Veshma Devi Sanichar | Licensed Practical Nurse | 1477 Fox Hollow Rd, Schenectady, NY 12309-2543 | 2018-08-28 |
| 1285129098 | Inez Justine Dukes | Licensed Practical Nurse | 13 Frank St, Schenectady, NY 12304-3106 | 2018-06-25 |
| 1215425095 | Shyne Dobbs | Licensed Practical Nurse | 420 Schenectady St, Schenectady, NY 12307-1713 | 2018-04-26 |
| 1558869057 | Elizabeth Chantel Mcfev | Licensed Practical Nurse | 1717 Avenue A, Schenectady, NY 12308-1907 | 2018-01-30 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12304 |
Please comment or provide details below to improve the information on AMANDA C FENNICKS.
| 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.