Amanda Dunham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F342452 Issued in NY

Practice address

963 Route 146 Ste 1
Clifton Park, NY 12065-3636

Phone

(518) 579-0012

Fax

(949) 577-4231

NPI assigned

Jan 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Mary Imogene Bassett Hospital

  dba Bassett Medical Center

  • Multi-Specialty Clinic/Center
  • Cooperstown, NY
  • NPI 1083664221
  Medicare reassignment NPD
• Mary Imogene Bassett Hospital

  dba FoxCare Pharmacy

  • Specialty Pharmacy
  • Oneonta, NY
  • NPI 1174419196
  NPD

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1346757127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 ROUTE 146 STE 1",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653636",
            "telephone_number": "518-579-0012",
            "fax_number": "949-577-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 ROUTE 146 STE 1",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653636",
            "telephone_number": "518-579-0012",
            "fax_number": "949-577-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "342452",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Dunham Integrative Family Health NP PLLC
• Dr. Jeff Starr (All About Eyes)
• Amy Duclos, OTR
• Michael G Dudick, D.C.
• Danielle Dumrese, FNP
• Catarina Durante Bergue Alves, PHD, LP
• David D Durling, RN
• Dynamic Wellness New York LLC
• Eckerd Corporation (Rite Aid Pharmacy 10680)
• Deborah L Ecklund, RN

• Family Nurse Practitioner in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.