Individual provider Active NPI

Amanda Lauren Rao, FNP

  • Registered Nurse
  • Fairport, NY
National Provider Identifier
1558118257
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
705969 Issued in NY
Practice address
14 Cannock Dr
Fairport, NY 14450-4107
Phone
(585) 704-2650
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 705969 NY Primary

Addresses

Primary practice location

14 Cannock Dr
Fairport, NY 14450-4107

Mailing address

14 Cannock Dr
Fairport, NY 14450-4107
Phone (585) 704-2650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250415003309 NY Practitioner - Nurse Practitioner 2466977186 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
705969NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester OBGYN Subspecialties CurrentSince Mar 11, 2025 Accepting new patients
University of Rochester CurrentSince Mar 11, 2025 Accepting new patients
U of R Plastic Surgeons CurrentSince Jun 13, 2025 Accepting new patients
University of Rochester CurrentSince Mar 11, 2025 Accepting new patients

Locations

160 Sawgrass Dr
Ste 150
Rochester, NY 14620
Phone (585) 262-9150

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

454 E Broad St
#100
Rochester, NY 14607
Phone (585) 276-7640

500 Red Creek Dr
Ste 120
Rochester, NY 14623
Phone (585) 487-3400

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

Interoperability endpoints

  • Direct secure messaging: arao88615@direct.urmc.rochester.edu

Organizations & group practices 5

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1558118257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CANNOCK DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144504107",
            "telephone_number": "585-704-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CANNOCK DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144504107",
            "telephone_number": "585-704-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "705969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.