Individual provider Active NPI

Erica Ofori-Atta Amoako

  • Adult Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1295468643
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101.0138083 Issued in VT
Practice address
60 Academy Rd
Albany, NY 12208-3103
Phone
(518) 426-2801
NPI assigned
Jul 4, 2022
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 714106 NY
Gerontology Nurse Practitioner 363LG0600X 101.0138083 VT
Adult Health Nurse Practitioner 363LA2200X 101.0138083 VT Primary

Addresses

Primary practice location

60 Academy Rd
Albany, NY 12208-3103

Mailing address

60 Academy Rd
Albany, NY 12208-3103
Phone (518) 426-2600

Other practice location 1

312 Crescent Blvd
Bennington, VT 05201-2419
Phone (207) 200-5907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807003011 VT Practitioner - Nurse Practitioner 6002314234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ventura Medical Services LLCGroup PAC ID 7618342254, 16 clinicians

Practice addresses (Care Compare)

312 Crescent Blvd
Bennington, VT 05201-2419
Phone (207) 200-5907

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
714106NYMDRegistered Nurse
101.0138083VTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Medical Services LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

4 Union Park Rd
Ste 8
Topsham, ME 04086

312 Crescent Blvd
Bennington, VT 05201
Phone (207) 200-5907

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1295468643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-426-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-426-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Crescent Blvd",
            "address_purpose": "LOCATION",
            "city": "Bennington",
            "state": "VT",
            "postal_code": "052012419",
            "country_code": "US",
            "telephone_number": "207-200-5907",
            "fax_number": "207-544-5157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOAKO",
        "first_name": "ERICA",
        "middle_name": "OFORI-ATTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-04",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "714106",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VT",
            "license": "101.0138083",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0138083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.