Individual provider Active NPI

Amanda Fey

  • Naturopath
  • Endicott, NY
National Provider Identifier
1134917834
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1455 Issued in OR
Practice address
31 Adams Ave Ste 4
Endicott, NY 13760-5501
Phone
(607) 729-0591
NPI assigned
Apr 30, 2025
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1455 OR Primary

Addresses

Primary practice location

31 Adams Ave Ste 4
Endicott, NY 13760-5501

Mailing address

1521 Coddington Rd
Brooktondale, NY 14817-9761
Phone (607) 351-1727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1455ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gwendolyn Rogers, Lac P-LLC PastSince May 4, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1134917834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 CODDINGTON RD",
            "city": "BROOKTONDALE",
            "state": "NY",
            "postal_code": "148179761",
            "telephone_number": "607-351-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ADAMS AVE STE 4",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605501",
            "telephone_number": "607-729-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEY",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.