Individual provider Active NPI

Amanda Rose Bakos, NP

  • Pediatric Nurse Practitioner
  • Boston, MA
National Provider Identifier
1144838384
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
233859 Issued in MA
Practice address
218 Marion St
Boston, MA 02128-1758
Phone
(617) 635-8372
Fax
(617) 535-8376
NPI assigned
Jul 14, 2020
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 233859 MA Primary

Addresses

Primary practice location

218 Marion St
Boston, MA 02128-1758

Mailing address

224 Court Rd
Winthrop, MA 02152-2825
Phone (781) 858-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Abakos@bostonpublicschools.org

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
233859MAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: abakos@bostonpublicschools.org

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1144838384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 COURT RD",
            "city": "WINTHROP",
            "state": "MA",
            "postal_code": "021522825",
            "telephone_number": "781-858-1400",
            "fax_number": "617-207-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MARION ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021281758",
            "telephone_number": "617-635-8372",
            "fax_number": "617-535-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOS",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "233859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Abakos@bostonpublicschools.org",
            "affiliation": "N",
            "address_1": "218 Marion St",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021281758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.