Individual provider Active NPI

Amanda Fazio, FNP, RN

  • Registered Nurse
  • White Plains, NY
National Provider Identifier
1265848212
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
092732 Issued in CT
Practice address
31 Greenridge Ave
Apartment 1B
White Plains, NY 10605-1213
Phone
(201) 463-4720
NPI assigned
Jul 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 092732 CT Primary
Registered Nurse 163W00000X 654833-1 NY
Family Nurse Practitioner 363LF0000X F339602 NY

Addresses

Primary practice location

31 Greenridge Ave
Apartment 1B
White Plains, NY 10605-1213

Mailing address

31 Greenridge Ave
Apartment 1B
White Plains, NY 10605-1213

Other names 1

  • Amanda Largi Former name

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
092732CTMDRegistered Nurse
654833-1NYMDRegistered Nurse
F339602NYMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: amf2012@direct.weillcornell.org

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1265848212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 GREENRIDGE AVE",
            "address_2": "APARTMENT 1B",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 GREENRIDGE AVE",
            "address_2": "APARTMENT 1B",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051213",
            "telephone_number": "201-463-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "AMANDA",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "092732",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "654833-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F339602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LARGI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.