AMANDA PEZZULO (NPI# 1639730039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639730039 |
| Entity Type | Individual |
| Full Name | AMANDA PEZZULO |
| Credential | RN, BSN, BA |
| Practice Address |
210 Ballston Ave Ballston Spa NY 12020-3606 |
| Practice Telephone | 5188847200 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
702920 | NY | Nursing Service Providers |
| Street Address |
210 BALLSTON AVE |
| City | BALLSTON SPA |
| State | NY |
| Zip Code | 12020-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205143211 | Erika Mae Hover | Speech-Language Pathologist | 210 Ballston Ave, Ballston Spa Csd, Ballston Spa, NY 12020-3606 | 2010-09-13 |
| 1811504426 | Amanda Belmonte | Registered Nurse | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2020-09-28 |
| 1508416793 | Nicole Hansen | Counselor | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2019-09-19 |
| 1982117891 | Barbara Lynn Vandyck | Registered Nurse | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2017-11-14 |
| 1215472097 | Kristen Sumple | Counselor | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2017-01-03 |
| 1235428715 | Chelsea Cangeleri | Psychologist | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2011-04-05 |
| 1538466057 | Christine M Jones | Social Worker | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2011-02-18 |
| 1760787568 | Gaylen Palma Wichrowski | Specialist | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2011-01-26 |
| 1093025207 | Erin Pezzulo | Registered Nurse | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972018422 | Brooke Szczesniak | Registered Nurse | 50 Wood Rd, Ballston Spa, NY 12020-2248 | 2017-12-06 |
| 1932646114 | Shelly Mauro | Registered Nurse | 38 Rolling Brook Dr, Ballston Spa, NY 12020-3619 | 2017-01-25 |
| 1013398106 | Maegan Huneke | Registered Nurse | 110 Hutchins Rd, Ballston Spa, NY 12020-2734 | 2015-06-15 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| 1023389319 | Diane M. Sabanos | Registered Nurse | 40 Thompson St, Ballston Spa, NY 12020-1324 | 2012-01-19 |
| 1255641452 | Colleen Ferlo | Registered Nurse | 220 Ballston Ave, Ballston Spa, NY 12020-3606 | 2010-10-21 |
| 1013225598 | Janice D Mcphee | Registered Nurse | 300 Wood Rd, Ballston Spa, NY 12020-2246 | 2010-09-18 |
| 1811504426 | Amanda Belmonte | Registered Nurse | 210 Ballston Ave, Ballston Spa, NY 12020-3606 | 2020-09-28 |
| 1194219204 | Alice Corey | Registered Nurse | 70 Malta Ave, Ballston Spa, NY 12020-1599 | 2018-06-21 |
| 1043619877 | Patricia Bentley | Registered Nurse | 300 Wood Rd, Ballston Spa, NY 12020-2246 | 2014-08-18 |
| Find all providers in BALLSTON SPA | ||||
| City | BALLSTON SPA |
| Zip Code | 12020 |
Please comment or provide details below to improve the information on AMANDA PEZZULO.
| 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.