Individual provider Active NPI

Amanda Faith Dressman, N.P.

  • Pediatric Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1467789974
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3010924 Issued in KY
Practice address
1780 Nicholasville Rd Ste 301
Lexington, KY 40503-1413
Phone
(859) 277-6636
Fax
(859) 277-1455
NPI assigned
Nov 5, 2009
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X COA.11136-NP OH
Pediatric Nurse Practitioner 363LP0200X 3010924 KY Primary

Addresses

Primary practice location

1780 Nicholasville Rd Ste 301
Lexington, KY 40503-1413

Mailing address

1780 Nicholasville Rd Ste 301
Lexington, KY 40503-1413
Phone (859) 277-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3010924KYMDPediatric Nurse Practitioner
COA.11136-NPOHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pediatrics, PSC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1467789974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD STE 301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031413",
            "telephone_number": "859-277-6636",
            "fax_number": "859-277-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NICHOLASVILLE RD STE 301",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031413",
            "telephone_number": "859-277-6636",
            "fax_number": "859-277-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESSMAN",
        "first_name": "AMANDA",
        "middle_name": "FAITH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.11136-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3010924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.