Individual provider Active NPI

Amanda Keena Soares, APRN

  • Family Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1396399176
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
064466-23 Issued in NH
Practice address
360 Route 101 Ste 10
Bedford, NH 03110-5031
Phone
(603) 472-2846
Fax
(603) 472-2872
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 064466-23 NH Primary

Addresses

Primary practice location

360 Route 101 Ste 10
Bedford, NH 03110-5031

Mailing address

360 Route 101 Ste 10
Bedford, NH 03110-5031

Other practice location 1

88 McGregor St Ste 201
Manchester, NH 03102-3733
Phone (603) 314-7595

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff_mano@gohnh.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20201005001725 NH Practitioner - Nurse Practitioner 9234558636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

88 McGregor St
Suite 201
Manchester, NH 03102-3733
Phone (603) 314-7595

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMC D/B/a Urgent Care at Bedford Medical Park CurrentSince Aug 22, 2022 Accepting new patients
Catholic Medical Center CurrentSince Aug 22, 2022 Accepting new patients
Catholic Medical Center Current Accepting new patients
Appledore Medical Group, Inc CurrentSince Feb 22, 2025 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients

Locations

5 Washington Pl
Ste 1A
Bedford, NH 03110
Phone (603) 663-8060

88 McGregor St
Ste 201
Manchester, NH 03102
Phone (603) 314-7595

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: amanda.soares@hca6.eclinicaldirectplus.com

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 1

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1396399176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 ROUTE 101 STE 10",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 ROUTE 101 STE 10",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105031",
            "telephone_number": "603-472-2846",
            "fax_number": "603-472-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 McGregor St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023733",
            "country_code": "US",
            "telephone_number": "603-314-7595",
            "fax_number": "603-665-2420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOARES",
        "first_name": "AMANDA",
        "middle_name": "KEENA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "064466-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_mano@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "88 McGregor St Ste 201",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.