Active NPI
Amanda Meagan Nash, DC
- Chiropractor
- Syracuse, NY
National Provider Identifier
1033348446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011802
- Practice address
- 404 Oak St
Suite 30
Syracuse, NY 13203-2997 - Phone
- (315) 425-0009
- Fax
- (315) 425-8881
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011802 | NY | Primary |
Addresses
Primary practice location
404 Oak St
Suite 30
Syracuse, NY 13203-2997
Mailing address
8055 Crockett Dr
Cicero, NY 13039-9052
Phone (315) 416-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011802 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renee M. Mooney DC PC | Chiropractor | Past | Accepting new patients |
| Delvin F. Gomez, D.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Syracuse, NY
- NPI 1154480127
-
- Chiropractor
- Syracuse, NY
- NPI 1619116852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1033348446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8055 CROCKETT DR",
"city": "CICERO",
"state": "NY",
"postal_code": "130399052",
"telephone_number": "315-416-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 OAK ST",
"address_2": "SUITE 30",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032997",
"telephone_number": "315-425-0009",
"fax_number": "315-425-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "AMANDA",
"middle_name": "MEAGAN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "011802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.