Amanda Cannizzaro, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

312410 Issued in NY

Practice address

7 Palmer Ave
Holtsville, NY 11742-1510

Phone

(631) 438-7122

NPI assigned

Aug 4, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1568346336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PALMER AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421510",
            "telephone_number": "631-438-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PALMER AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421510",
            "telephone_number": "631-438-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIZZARO",
        "first_name": "AMANDA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "312410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Girjah Budhan, LCSW
• Lauren F Burns, NP
• Lynn Diane Cadovius
• Michele Camacho, R.N.
• Brandon Cancellieri
• Gail M Carbone Williams
• Sharrell Aaisha Carr, LPN
• Melissa A Cascio, MELISSA
• Johanna S Castellano, PT
• Shannon Elizabeth Cattani, CCC-SLP

• Gerontology Nurse Practitioner in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.