ANDEY AMATA-KYNVI


Address: 99 Jerome St, Medford, MA 02155-6736
Phone: 5082519587

ANDEY AMATA-KYNVI (NPI# 1609406164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609406164
Entity Type Individual
Full Name ANDEY AMATA-KYNVI
Credential MSN, CNP, AGNP
Practice Address 99 Jerome St
Medford
MA 02155-6736
Practice Telephone 5082519587
Mailing Telephone 5082519587
Enumeration Date 2020-01-23
Last Update Date 2020-01-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN209517 MA Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN209517 MA Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
RN209517 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 99 JEROME ST
City MEDFORD
State MA
Zip Code 02155-6736

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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

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1922542489 Genevieve Lumsden Nurse Practitioner 30 Auburn St, Medford, MA 02155-3623 2016-12-16
1821456708 Sonia Nerteley Nettey Nurse Practitioner 86 Otis St Unit 2, Medford, MA 02155-4031 2016-02-05
1740532480 Shannon Henderson Nurse Practitioner 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 2012-10-04
1548577307 Elaina S Jensen Nurse Practitioner 2385 Table Rock Rd # 103, Medford, OR 97501-1510 2010-08-31
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Competitor

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City MEDFORD
Zip Code 02155

Improve Information

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Dataset Information

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.

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