Amy Tietjen

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

46 Centerra Pkwy Ste 105
Lebanon, NH 03766-1488

Phone

(603) 691-3435

Fax

(603) 919-1915

NPI assigned

Apr 7, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Moosilauke Visions, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanover, NH
  • NPI 1194685370
  NPD (past)

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1194667485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CENTERRA PKWY STE 105",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661488",
            "telephone_number": "603-691-3435",
            "fax_number": "603-919-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CENTERRA PKWY STE 105",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661488",
            "telephone_number": "603-691-3435",
            "fax_number": "603-919-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETJEN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hla Myo Thwe, MD
• Jarl Thysell, DO
• Martin Tibuakuu, MD
• Ruth L Ticknor, C.R.N.A.
• Atiyah Tidd-Johnson, MD
• Vivekanand Tiwari, MD
• Todd Mosenthal
• Elizabeth Catherine Todd, ARNP
• Megan Duplessis Todd, MS, OTR/L
• Cristina Jose Toledo-Cornell, M.D

• Social Worker in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.