Active NPI
Amanda Jane Hodder, D.C.
- Chiropractor
- Schenectady, NY
National Provider Identifier
1548580525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012008-1
- Practice address
- 25 Mohawk Ave
Schenectady, NY 12302-2565 - Phone
- (518) 390-2484
- Fax
- (518) 374-0273
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X012008-1 | NY | Primary |
Addresses
Primary practice location
25 Mohawk Ave
Schenectady, NY 12302-2565
Mailing address
25 Mohawk Ave
Schenectady, NY 12302-2563
Phone (518) 390-2484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J300044724 | Other | NY | PTAN |
Other names 1
- Amanda Jane Spyratos
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012008-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1548580525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MOHAWK AVE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123022563",
"telephone_number": "518-390-2484",
"fax_number": "518-374-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MOHAWK AVE",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123022565",
"telephone_number": "518-390-2484",
"fax_number": "518-374-0273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODDER",
"first_name": "AMANDA",
"middle_name": "JANE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012008-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "J300044724",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "SPYRATOS",
"middle_name": "JANE",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.