Amanda Lee Federovich, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP013088 Issued in PA

Practice address

1311 12TH Ave
Altoona, PA 16601-3307

Phone

(814) 943-2273

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Altoona Adult Day Care, Inc.

  • Adult Day Care Clinic/Center
  • Altoona, PA
  • NPI 1740567684
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1457786212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DELAFIELD RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152151802",
            "telephone_number": "814-943-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 12TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013307",
            "telephone_number": "814-943-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDEROVICH",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Fasolo, RPH
• Michelle Ann Fasolo, RPH
• Burt Fazi, M.D.
• Ali Marie Feathers, PA-C
• Jennifer Feathers, BA
• Lakein Feltenberger
• Deborah A Fernicola, CRNP
• Abigail Ferragine, DPT, PT
• Joy Ferro, DO
• John Curtis Fester, D.C, M.S.A.C.N, B.S.

• Family Nurse Practitioner in Altoona, PA
• Providers in Altoona, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.