Amanda Pisarski, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

314021-1 Issued in NY

Practice address

26713 Nys Rte 12
Watertown, NY 13601

Phone

(315) 399-9326

NPI assigned

Apr 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Ridsdale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1073967386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26713 NYS RTE 12",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-399-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26713 NYS RTE 12",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-399-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISARSKI",
        "first_name": "AMANDA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314021-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RIDSDALE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert James Pickeral Jr., PAC
• Nicole L Pierce, LMSW
• Amanda Pilozzi, LPN
• Gabrielle Pinet
• Judith L Pirro, LCSW
• William Pitt, PT, DPT
• Planned Parenthood of the North Country New York, Inc.
• Mary Ploehn-Brown, LICENSED OPTICIAN
• John J Poggi, MD
• Lorrie A Pond, LPN

• Licensed Practical Nurse in Watertown, NY
• Providers in Watertown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.