NPIMap

Individual provider Active NPI

Amanda Claire Davis, APN

  • Nurse Practitioner
  • Turnersville, NJ
National Provider Identifier
1306374426
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ000735200 Issued in NJ
Practice address
151 Fries Mill Rd Ste 301
Turnersville, NJ 08012-2016
Phone
(856) 374-1881
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ000735200 NJ Primary

Addresses

Primary practice location

151 Fries Mill Rd Ste 301
Turnersville, NJ 08012-2016

Mailing address

151 Fries Mill Rd Ste 301
Turnersville, NJ 08012-2016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810001289 NJ Practitioner - Nurse Practitioner 2961773890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

1 Regulus Dr
A
Turnersville, NJ 08012-2427
Phone (856) 256-7513

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Voorhees, NJ, CCN 317073
  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
  • Holy Redeemer Home Care NJ South Home health agency, Runnemede, NJ, CCN 317025
  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
  • Suncrest Health Services, LLC Hospice, Marlton, NJ, CCN 311594
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ000735200NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 15, 2021 Accepting new patients
Kennedy Medical Group P.C. CurrentSince Nov 20, 2017 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Nov 20, 2017 Accepting new patients
Cooper Physician Offices, PA CurrentSince Jun 30, 2017 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

1 Federal St
#200
Camden, NJ 08103

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

400 Medical Center Dr
Ste C
Sewell, NJ 08080
Phone (856) 374-1881

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

1 Regulus Dr
#A
Turnersville, NJ 08012
Phone (609) 589-7770

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1306374426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 301",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 301",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-374-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMANDA",
        "middle_name": "CLAIRE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ000735200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.