Amanda Prymak, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN64460 Issued in RI

Practice address

120 Webster St
Pawtucket, RI 02861-1168

Phone

(603) 723-6622

NPI assigned

Jul 16, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Fellowship Health Resources, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, RI
  • NPI 1245239680
  NPD (past)

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1306454368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MAUREEN CIR",
            "city": "MAPLEVILLE",
            "state": "RI",
            "postal_code": "028391141",
            "telephone_number": "603-723-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WEBSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611168",
            "telephone_number": "603-723-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYMAK",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN64460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aprymak@fhr.net",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "120 Webster St",
            "city": "Pawtucket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028611168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Renee Prino
• Priority Managment Group Inc
• Procare Physical Therapy
• Professional Internal Medicine Associates Inc
• Sherri Lynn Provencal, PH.D.
• Psych Solutions LLC
• Chan Yeu Pu, M.D.
• Alyssa Pullan, PMHNP-BC
• Tatiana Pullar, BCBA
• PVD Cares Psychiatry LLC

• Registered Nurse in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.