Active NPI
Amanda Keena Soares, APRN
- Family Nurse Practitioner
- Bedford, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 064466-23
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC D/B/a Urgent Care at Bedford Medical Park | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Appledore Medical Group, Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1720077167
-
- Family Medicine Physician
- Bedford, NH
- NPI 1972559904
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1003692112
-
- Urgent Care Clinic/Center
- Bedford, NH
- NPI 1134410319
-
- Family Medicine Physician
- North Hampton, NH
- NPI 1174512693
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, NH
- NPI 1972340990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.