Individual provider Active NPI

Amanda Dempsey Donaway, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1396201182
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001236 Issued in DE
Practice address
32711 Long Neck Rd
Millsboro, DE 19966-6678
Phone
(302) 945-9730
NPI assigned
Feb 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0001236 DE Primary

Addresses

Primary practice location

32711 Long Neck Rd
Millsboro, DE 19966-6678

Mailing address

32711 Long Neck Rd
Millsboro, DE 19966-6678
Phone (302) 945-9730

Other names 1

  • Amanda Sue Dempsey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rejuvenation Skin Wellness and Aesthetics Current Accepting new patients
Lewes Surgical & Medical Associates, P.a. Past Accepting new patients

Locations

35202 Atlantic Ave
Millville, DE 19967
Phone (302) 539-7063

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IECJCD

Organizations & group practices 2

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": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1396201182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32711 LONG NECK RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199666678",
            "telephone_number": "302-945-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32711 LONG NECK RD",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199666678",
            "telephone_number": "302-945-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAWAY",
        "first_name": "AMANDA",
        "middle_name": "DEMPSEY",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DEMPSEY",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.