Active NPI
Amanda Hoffman, APNP
- Nurse Practitioner
- Pewaukee, WI
National Provider Identifier
1063907699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 8312-33
- Practice address
- N51W24953 Lisbon Rd
Pewaukee, WI 53072-1403 - Phone
- (262) 532-8691
- NPI assigned
- Jun 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 8312-33 | WI | Primary |
Addresses
Primary practice location
N51W24953 Lisbon Rd
Pewaukee, WI 53072-1403
Mailing address
W227N2612 Meadowood LN
Waukesha, WI 53186-8845
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 |
|---|---|---|---|
| 8312 | WI | MD | Social Worker |
| 8312-33 | WI | MD | Nurse Practitioner |
Interoperability endpoints
- astuckartapnp256032@direct.froedtert.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1063907699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W227N2612 MEADOWOOD LN",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531868845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N51W24953 LISBON RD",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530721403",
"telephone_number": "262-532-8691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "AMANDA",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "8312-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.