Individual provider Active NPI

Amanda Davis, CNM

  • Advanced Practice Midwife
  • Lynn, MA
National Provider Identifier
1295937308
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
239226 Issued in MA
Practice address
280 Union St
Lynn Women'S Health
Lynn, MA 01901-1353
Phone
(781) 596-3800
Fax
(781) 596-3830
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal Newborn Registered Nurse 163WM0102X 239226 MA
Advanced Practice Midwife 367A00000X 239226 MA Primary

Addresses

Primary practice location

280 Union St
Lynn Women'S Health
Lynn, MA 01901-1353

Mailing address

280 Union St
Lynn Women'S Health
Lynn, MA 01901-1353
Phone (781) 596-3800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000627 MA Practitioner - Certified Nurse Midwife (CNM) 2264502905 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhealth Corporation CurrentSince Oct 8, 2015 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Brigham & Womens Hospital, Inc. CurrentSince Jan 2, 2018 Accepting new patients
Boston University Obstetrics and Gynecology Foundation, Inc. CurrentSince Oct 8, 2015 Accepting new patients
Internal Medical Associates-Ebnhc CurrentSince Oct 8, 2015 Accepting new patients
Codman Square Health Center Inc CurrentSince Jan 18, 2022 Accepting new patients
Brigham & Womens Physicians Organization Inc Past Accepting new patients

Locations

720 Harrison Ave
Ste 1105
Boston, MA 02118
Phone (617) 414-2000

1601 Washington St
Boston, MA 02118
Phone (617) 425-2000

75 Francis St
Boston, MA 02115

375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010

637 Washington St
Dorchestr Ctr, MA 02124
Phone (617) 822-8211

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

Interoperability endpoints

  • Direct secure messaging: adavis336855@direct.ochin.org
  • Direct secure messaging: adavis357380@direct.ochin.org
  • Direct secure messaging: davis.amanda.bwh@direct.partners.masshiway.net
  • Direct secure messaging: adavis9978@direct.bmc.masshiway.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1295937308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 UNION ST",
            "address_2": "LYNN WOMEN'S HEALTH",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-596-3800",
            "fax_number": "781-596-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 UNION ST",
            "address_2": "LYNN WOMEN'S HEALTH",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011353",
            "telephone_number": "781-596-3800",
            "fax_number": "781-596-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MA",
            "license": "239226",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "239226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.