Amy Marie Neri, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

10-102193 Issued in CT

Practice address

200 Seabury Dr
Bloomfield, CT 06002-5618

Phone

(860) 286-4287

Fax

(860) 243-6096

NPI assigned

Oct 7, 2021

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

Other identifiers 1

Electronic endpoints 1

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1528720562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SEABURY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060025618",
            "telephone_number": "860-286-4287",
            "fax_number": "860-243-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SEABURY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060025618",
            "telephone_number": "860-286-4287",
            "fax_number": "860-243-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERI",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CT",
            "license": "10-102193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "075383",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amyneri@seaburylife.org",
            "affiliation": "N",
            "address_1": "200 Seabury Dr",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060025618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Administrator Registered Nurse in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Administrator Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.