Active NPI
Amanda S Valone, D.O.
- Psychiatry Physician
- Albuquerque, NM
National Provider Identifier
1134515737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A-2117-18
- Practice address
- 1501 San Pedro Dr SE RM 145
Albuquerque, NM 87108-5180 - Phone
- (505) 690-7657
- NPI assigned
- Apr 9, 2015
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A-2117-18 | NM | Primary |
Addresses
Primary practice location
1501 San Pedro Dr SE RM 145
Albuquerque, NM 87108-5180
Mailing address
1616 Camino Redondo
Los Alamos, NM 87544-2719
Phone (505) 661-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-2117-18 | NM | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1134515737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CAMINO REDONDO",
"city": "LOS ALAMOS",
"state": "NM",
"postal_code": "875442719",
"telephone_number": "505-661-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAN PEDRO DR SE RM 145",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085180",
"telephone_number": "505-690-7657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALONE",
"first_name": "AMANDA",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-09",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "A-2117-18",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.