Amanda Marie Gould, NP
Individual provider Active NPI Family Nurse Practitioner · North Kingstown, RI
NPI 1437633435 · NPPES record last updated Jan 4, 2023
Key facts
- NPI
- 1437633435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN02757 (RI)
- Practice address
- 308 Callahan Rd
North Kingstown, RI 02852-7739 - Phone
- (401) 295-9706
- NPI assigned
- Sep 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Community Health Care
Practice addresses (Care Compare)
36 Bridge Way
Pascoag, RI 02859-3131
Phone (401) 567-0800
Hospital & facility affiliations
- The Miriam Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211109000469 | RI | Practitioner - Nurse Practitioner | 8224427596 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN52177 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Community Health Care | Current |
Accepting new patients | |
| Northwest Community Health Care | Current |
Accepting new patients | |
| Northwest Community Health Care | Current | Accepting new patients |
Locations
142A Danielson Pike
Foster, RI 02825
Phone (401) 241-1924
308 Callahan Rd
North Kingstown, RI 02852
Phone (401) 295-9706
36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800
35 Village Plaza Way
Scituate, RI 02857
Phone (401) 647-6262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN52177 | RI | |
| Diabetes Educator Registered Nurse | 163WD0400X | RN52177 | RI | |
| Family Nurse Practitioner | 363LF0000X | APRN02757 | RI | Yes |
Addresses
Primary practice location
308 Callahan Rd
North Kingstown, RI 02852-7739
Mailing address
PO Box 312
Pascoag, RI 02859-0312
Phone (401) 567-0800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN02757 | Other | RI | NP LICENSE |
| RN52177 | Other | RI | NURSING LICENSE |
Other names
- Amanda Marzano
Other providers in North Kingstown, RI
- James D. Gloor
- Jessa Naomi Goldstein
- Karen Golish
- Rita F Good
- Olga Gorea
- Alyssa Goulet
- Nancy Graham
- Melissa B Graswald
- Stephanie Marie Grecco
- Jennifer Elizabeth Griffith
All providers in North Kingstown, RI · Family Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.