AMANDA KELLY (NPI# 1881248227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881248227 |
| Entity Type | Individual |
| Full Name | AMANDA KELLY |
| Credential | NP |
| Practice Address |
2014 Washington St Newton MA 02462-1607 |
| Mailing Address |
659 Moody St Apt 3 Waltham MA 02453-5124 |
| Practice Telephone | 6172436000 |
| Mailing Telephone | 9787931893 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2265855 | MA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | RN2265855 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 659 Moody St Apt 3, Waltham, MA 024535124 | 9787931893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395921 | Amanda Kelly | Student in an Organized Health Care Education/Training Program | 71 Walnut Ave, Norwood, MA 02062-3215 | 2020-04-16 |
| 1073977989 | Amanda Kelly | Specialist/Technologist | 8 Clemson Rd, Parlin, NJ 08859-1206 | 2016-04-06 |
| 1326489741 | Amanda N Kelly | Behavioral Analyst | 66-434 Kamehameha Hwy, Haleiwa, HI 96712-2414 | 2013-07-14 |
| 1124254263 | Amanda Rose Kelly | Dentist | 4183 Franklin Rd Ste 5b, Murfreesboro, TN 37128-4255 | 2009-06-03 |
| 1306464904 | Amanda M Kelly | Pharmacist | 1655 E 95th St, Chicago, IL 60617-4707 | 2020-07-09 |
| 1811549041 | Amanda Vaughan Kelly | Nurse Practitioner | 1505 Sw Cary Pkwy Ste 309, Cary, NC 27511-6219 | 2019-07-09 |
| 1134789787 | Amanda Ansley Kelly | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2019-06-17 |
| 1649750027 | Amanda Nicole Kelly | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2018-08-15 |
| 1891232914 | Amanda Kelly | Nurse Anesthetist, Certified Registered | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2017-01-26 |
| 1669925194 | Amanda Kelly | Nurse Practitioner | 103 Bata Blvd Ste A, Belcamp, MD 21017-1420 | 2016-08-02 |
| Street Address |
2014 WASHINGTON ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818721 | Judy Z Yang | Internal Medicine | 2014 Washington St, Newton, MA 02462-1607 | 2005-11-18 |
| 1952916611 | Deanna Elizabeth Fiore | Nurse Practitioner | 2014 Washington St, Newton, MA 02462-1699 | 2020-09-10 |
| 1730799040 | Enoch Anyanwu | Registered Nurse | 2014 Washington St, Newton, MA 02462-1607 | 2020-08-03 |
| 1821627399 | Saghar Bagheri | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-06 |
| 1356970206 | Alexandra Beling | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1790314656 | Micaela Rose Nannery | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1689202038 | Susruthi Rajanala | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-31 |
| 1649808213 | Mary E. Awad | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1568090108 | Damir Ljuboja | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1417585076 | Steven Nicholas Baldassano | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
| Find all providers in zip 02462 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1508407495 | Halyna Haba | Nurse Practitioner | 4 Augusta Ct, Newton, NJ 07860-5236 | 2019-10-02 |
| 1114571130 | Jason William Roberts | Nurse Practitioner | 9427 Eastside Drive Ext Ste A, Newton, MS 39345-8063 | 2019-07-29 |
| 1134694938 | Arista Healthcare Inc | Nurse Practitioner | 46 Austin Street #301, Newton, MA 02460-1861 | 2018-10-08 |
| 1396227211 | Amy Hulse | Nurse Practitioner | 700 Medical Center Dr Ste 101, Newton, KS 67114-9014 | 2018-09-06 |
| 1669997987 | Doria Sforza | Nurse Practitioner | 2014 Washington St Ste 563, Newton, MA 02462-1607 | 2017-08-08 |
| 1013163427 | Jodi F Holloway | Nurse Practitioner | 315 W 3rd St N, Newton, IA 50208-2015 | 2008-08-18 |
| 1619005360 | Gerri Fisher Morrison | Nurse Practitioner | 105b N Main Ave, Newton, NC 28658-3213 | 2007-03-02 |
| 1063582765 | Michele Kinder | Nurse Practitioner | 910 S Van Buren St, Newton, IL 62448-1727 | 2006-11-09 |
| 1164435798 | Janet Greer | Nurse Practitioner | 2564 Highway 321s, Newton, NC 28658 | 2006-08-14 |
| Find all providers in NEWTON | ||||
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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.