Amanda Kate Livolsi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

024095 Issued in NY

Practice address

258 Hoosick St Ste 106
Troy, NY 12180-2446

Phone

(518) 271-1331

NPI assigned

Oct 8, 2019

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.livolsi@troypediatrics.chartmakerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Troy Pediatrics, LLP

  • Pediatrics Physician
  • Troy, NY
  • NPI 1497721575
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1053952341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST STE 106",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802446",
            "telephone_number": "518-271-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST STE 106",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802446",
            "telephone_number": "518-271-1331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Myrtle Ave Ste 4D",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083835",
            "country_code": "US",
            "telephone_number": "518-207-2299",
            "fax_number": "518-207-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVOLSI",
        "first_name": "AMANDA",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melina Lisosky
• Allison Liss, PMHNP
• Jennifer Robyn Littman, LCSW-R
• Eileen Livingston
• Maribeth Lynne Livingston, P.T.A.
• Local Care Midwifery
• Anthony Locascio, PA-C
• Elizabeth Loccisano, FNP
• Holly E Lockrow, OTR/L
• Melissa Anne Loehle

• Physician Assistant in Troy, NY
• Providers in Troy, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.