AMANDA ROSS (NPI# 1619342243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619342243 |
| Entity Type | Individual |
| Full Name | AMANDA ROSS |
| Credential | NP |
| Practice Address |
49 Lawrence Ave Potsdam NY 13676-1889 |
| Mailing Address |
50 Leroy St Ppm Potsdam NY 13676-1786 |
| Practice Telephone | 3152749075 |
| Practice Fax Number | 3152749078 |
| Mailing Telephone | 3152616034 |
| Mailing Fax Number | 3152616025 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704287960 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
340200 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1083116198 | Amanda Michelle Ross | Nurse Practitioner | 3725 Mall Ln, Texarkana, TX 75501-2658 | 2018-03-05 |
| 1407227143 | Amanda Ross | Counselor | 4230 Park Newport Apt 202, Newport Beach, CA 92660-6068 | 2015-10-07 |
| 1942601505 | Amanda Catherine Ross | Counselor | 1970 Larkwood Dr, Apopka, FL 32703-1542 | 2014-09-12 |
| 1053933093 | Amanda M Ross | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-05-13 |
| 1366071581 | Amanda Rae Ross | Occupational Therapist | 222 New Road, Suite 101, Linwood, NJ 08221 | 2020-04-08 |
| 1013419373 | Amanda Ross | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2018-03-02 |
| 1912439654 | Amanda Renee Ross | Emergency Medicine | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2017-03-31 |
| 1336698158 | Amanda Ross | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Northstar Anesthesia, Massillon, OH 44646-8503 | 2016-09-22 |
| 1366832115 | Amanda Kathryn Ross | Physician Assistant | 7841 Amana Trl, Inver Grove Heights, MN 55077-2609 | 2015-02-02 |
| Street Address |
49 LAWRENCE AVE |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295710358 | John Sparrow Duffy | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676 | 2005-12-13 |
| 1073159083 | Caitlyn Maskell | Physical Therapist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2019-11-25 |
| 1982103354 | Sarah Elizabeth Collins | Speech-Language Pathologist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2018-02-12 |
| 1093230229 | Rebecca Ann Martin | Physical Therapist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-08-09 |
| 1225579626 | Sonja J Kocan | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-03-17 |
| 1366891632 | Mallory Sprague | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2016-06-08 |
| 1073994968 | Ashley Grimshaw | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676 | 2015-06-16 |
| 1669870259 | Martha Pickard Palmer | Nutritionist | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2014-12-12 |
| 1184054371 | Amy B Mangual | Registered Nurse | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2013-11-25 |
| 1720427347 | Emily Louise Wood | Family Medicine | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2013-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1699985952 | Sheryl Lynn Cruger | Nurse Practitioner | 37 Pierrepont Ave, Potsdam, NY 13676-2107 | 2007-05-23 |
| 1336759091 | Aimee Jean Raymonda | Nurse Practitioner | 9 Broad St, Potsdam, NY 13676-1735 | 2020-08-06 |
| 1518527118 | Meade Lent | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1799 | 2019-06-17 |
| 1164984753 | Joseph John Adams Iv | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1799 | 2019-04-02 |
| 1730691361 | Kristin Marie Weston | Nurse Practitioner | 7957 Us Highway 11, Potsdam, NY 13676-3239 | 2017-11-05 |
| 1225579626 | Sonja J Kocan | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2017-03-17 |
| 1730629080 | Lisa Therese Mcdonald | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-03-06 |
| 1811254667 | Jodi Lynn Falardeau | Nurse Practitioner | 50 Leroy St, Potsdam, NY 13676-1786 | 2012-04-18 |
| 1952573057 | Susan Joyce Knowles | Nurse Practitioner | 50 Leroy St, Canton Potsdam Hospital, Potsdam, NY 13676-1786 | 2008-03-28 |
| Find all providers in POTSDAM | ||||
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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.