Amanda Brady Watters Gorman, NP, RN

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Practice address

8 Hatters LN
Farmington, CT 06032-2332

Phone

(917) 567-5260

Fax

(844) 364-2618

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Amanda Brady Watters Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Nest Collaborative of Texas, PLLC

  • Lactation Consultant (Non-RN)
  • Farmington, CT
  • NPI 1144972746

  Lactation Consultant, Non-RN

  NPD Authorized official
• Women'S Healthcare Associates, LLC

  • Nursing Care Agency
  • Farmington, CT
  • NPI 1659195170

  Registered Nurse

  NPD Authorized official
• Nest Collaborative Nursing and Lactation Services , PC

  • Pediatric Nurse Practitioner
  • Baltimore, MD
  • NPI 1740729466

  Pediatrics

  NPD

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1124309430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 HIGHLAND RIDGE DR",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311217",
            "telephone_number": "917-567-5260",
            "fax_number": "844-364-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HATTERS LN",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322332",
            "telephone_number": "917-567-5260",
            "fax_number": "844-364-2618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Avenue Dept. 6M",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94110",
            "country_code": "US",
            "telephone_number": "415-206-8457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "AMANDA",
        "middle_name": "BRADY WATTERS",
        "name_prefix": "Mrs.",
        "credential": "NP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R214487",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R214487",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092172600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WATTERS",
            "middle_name": "BRADY",
            "credential": "RN, NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Justin Glenn Goralnik, M.D.
• Matthew David Goranson
• Abigail Lynn Gordon
• Alanna Jazmine Gordon, DO
• Barry Gordon, LCSW
• Ryan A Gorman, D.O
• Kaitlin Goulet
• Michael T Goupil, D.D.S.
• Brooke Gouveia, APRN
• Mary Gover, MA

• Lactation Consultant (Non-RN) in Farmington, CT
• Providers in Farmington, CT by specialty
• Lactation Consultant (Non-RN) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.