Individual provider Active NPI

Amanda Mary Comp, RN

  • Registered Nurse
  • New York, NY
National Provider Identifier
1346975901
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9529728 Issued in FL
Practice address
295 Lafayette St # 7TH
New York, NY 10012-2701
Phone
(414) 418-5357
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61271056 WA
Registered Nurse 163W00000X RN9529728 FL Primary

Addresses

Primary practice location

295 Lafayette St # 7TH
New York, NY 10012-2701

Mailing address

86227 Debbie Rd
Yulee, FL 32097-2975
Phone (414) 418-5357

Other practice location 1

86227 Debbie Rd
Yulee, FL 32097-2975
Phone (414) 418-5357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9529728FLMDRegistered Nurse
RN61271056WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1346975901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86227 DEBBIE RD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320972975",
            "telephone_number": "414-418-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 LAFAYETTE ST # 7TH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122701",
            "telephone_number": "414-418-5357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86227 Debbie Rd",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320972975",
            "country_code": "US",
            "telephone_number": "414-418-5357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMP",
        "first_name": "AMANDA",
        "middle_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61271056",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9529728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.