AMANDA J KOENNECKE (NPI# 1417402132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417402132 |
| Entity Type | Individual |
| Full Name | AMANDA J KOENNECKE |
| Credential | NP |
| Practice Address |
43 New Scotland Avenue Albany NY 12208 |
| Practice Telephone | 5182627900 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
350403 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
43 NEW SCOTLAND AVENUE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326268491 | Michael Francis Ciccarelli Jr. | Emergency Medicine | 43 New Scotland Avenue, Albany Medical Center, Albany, NY 12208 | 2007-04-30 |
| 1184004251 | Margaret Marie Mazza | Speech-Language Pathologist | 43 New Scotland Avenue, Albany Medical Center Hospital, Comm Disorders Center, Albany, NY 12208 | 2015-06-04 |
| 1720473143 | Judith Emerson Dougherty | Nurse Practitioner | 43 New Scotland Avenue, Albany, NY 12208 | 2015-04-02 |
| 1164731592 | Jacquelyn Helen Danek | Speech-Language Pathologist | 43 New Scotland Avenue, Albany Medical Center Hospital Mc-128, Albany, NY 12208 | 2010-10-04 |
| 1326372350 | Janeen Smith | Physician Assistant | 43 New Scotland Avenue, Albany, NY 12208 | 2009-09-23 |
| 1275739468 | Leigh Anne Farry | Nurse Practitioner | 43 New Scotland Avenue, Mc 73, Albany, NY 12144 | 2007-06-25 |
| 1659593093 | Stefanie Neubert | Nurse Practitioner | 43 New Scotland Avenue, Albany, NY 12208 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912287871 | Jane Dolson Lanusse | Nurse Practitioner | 47 New Sctlnd Ave, Albany, NY 12208-3412 | 2011-08-24 |
| 1922649847 | Marcie Anne Dann | Nurse Practitioner | 43 New Scotland Ave, Albany, NY 12208-3478 | 2019-10-02 |
| 1205342409 | Michael G Jump | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2017-12-26 |
| 1790229144 | Katherine Urban | Nurse Practitioner | 43 New Scotland Ave, Albany, NY 12208-3412 | 2016-12-05 |
| 1285046425 | Belinda Frazier | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2014-05-22 |
| 1164855284 | Sirlena Elizabeth Brown | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-08-13 |
| 1417298258 | Tasha L Bowman | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-03-04 |
| 1861733610 | Scott A Frazier | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-03-04 |
| 1710227285 | Judith A Sanders | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-02-21 |
| 1689914285 | Lisa C Bryant | Nurse Practitioner | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-02-20 |
| Find all providers in ALBANY | ||||
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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.