Amanda Marie Macdonnell, APN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5268 Issued in CO

Practice address

750 N Ridge Rd
Castle Rock, CO 80104-8950

Phone

(303) 658-9817

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Health Stop LLC

  • Clinic/Center
  • Aurora, CO
  • NPI 1649329830
  NPD (past)

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1104023803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 S FLAT ROCK CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165833",
            "telephone_number": "303-889-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N RIDGE RD",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048950",
            "telephone_number": "303-658-9817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONNELL",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "5268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc
• William H Lyles, OTR
• Briana Christina Lynn, LCSW
• Kristin Leigh Mabbutt
• Carol L Maccallum, NP
• Dalton J Mackay, MD
• Janet Karen Madrid, RDH
• Andrea Madsen, LPCC
• Sean W Magill, MSW., LCSW
• Maher Counseling, LLC

• Family Nurse Practitioner in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.