Active NPI
Amanda A Burr, PA
- Medical Physician Assistant
- Johnston, RI
National Provider Identifier
1265665319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA3824
- Practice address
- 1524 Atwood Ave
Suite 220
Johnston, RI 02919-3228 - Phone
- (401) 272-1900
- Fax
- (401) 453-3049
- NPI assigned
- Aug 24, 2009
- Last updated
- Mar 23, 2016
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA3824 | MA | Primary |
Addresses
Primary practice location
1524 Atwood Ave
Suite 220
Johnston, RI 02919-3228
Mailing address
1524 Atwood Ave
Suite 220
Johnston, RI 02919-3228
Phone (401) 272-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA3824 | Other | MA | MASSACHUSETTS LIC # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1524 Atwood Ave
Johnston, RI 02919-3288
Phone (401) 272-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA3824 | MA | MD | Medical Physician Assistant |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1265665319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 220",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-272-1900",
"fax_number": "401-453-3049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 220",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-272-1900",
"fax_number": "401-453-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURR",
"first_name": "AMANDA",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA3824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS LIC #",
"identifier": "PA3824",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.