Active NPI
Amanda Cummings, PA-C
- Surgical Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 9672375-1206
- Practice address
- 30 N 1900 E # 3B110
Salt Lake City, UT 84132-0002 - Phone
- (801) 585-2708
- NPI assigned
- Feb 4, 2016
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9672375-1206 | UT | Primary |
Addresses
Primary practice location
30 N 1900 E # 3B110
Salt Lake City, UT 84132-0002
Mailing address
30 N 1900 E # 3B110
Salt Lake City, UT 84132-0002
Phone (801) 585-2708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242
333 Borthwick Ave
Portsmouth, NH 03801-7128
Hospital & facility affiliations
- Portsmouth Regional Hospital
- Frisbie Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group, Inc | Current | Accepting new patients | |
| University of Utah Pediatric Surgeons | Past | Accepting new patients |
Locations
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
333 Bothwick Ave
Ste 402
Portsmouth, NH 03801
Phone (603) 433-5110
333 Borthwick Ave
Ste 200
Portsmouth, NH 03801
Phone (603) 334-6260
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- amanda.cummings@hca6.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1720077167
-
- Trauma Surgery Physician
- Portsmouth, NH
- NPI 1770296659
-
- Pediatric Surgery Physician
- Salt Lake City, UT
- NPI 1083623904
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, NH
- NPI 1689215030
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1104284124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E # 3B110",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-585-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E # 3B110",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320002",
"telephone_number": "801-585-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "AMANDA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "UT",
"license": "9672375-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.