Amanda Lynn Piasecki, RN, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW473 Issued in FL

Practice address

611 SW Federal Hwy Ste M
Stuart, FL 34994-2925

Phone

(772) 200-4277

Fax

(772) 919-4280

NPI assigned

Sep 10, 2024

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

Other names 1

• Amanda Lynn Kelley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1407682032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY STE M",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-200-4277",
            "fax_number": "772-919-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SW FEDERAL HWY STE M",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942925",
            "telephone_number": "772-200-4277",
            "fax_number": "772-919-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIASECKI",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9381951",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KELLEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Physicians Group of the Treasure Coast LLC
• Physicians Imaging Center LLC
• Physicians Imaging Center LLC
• Physicians to Women PA
• Isabella V Pi
• Sherry Lynne Piasecki, APRN
• Kaitlyn Picallo
• Gwenda Piccirillo
• Laura Pichs Oquendo, RBT
• Tatiana I Picon, RBT

• Midwife in Stuart, FL
• Providers in Stuart, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.