Active NPI
Amanda Jill Hines, NNP
- Critical Care Neonatal Nurse Practitioner
- Valhalla, NY
National Provider Identifier
1588782064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- F350248-1
- Practice address
- Grasslands Road
Valhalla, NY 10595 - Phone
- (914) 493-8558
- Fax
- (914) 493-1488
- NPI assigned
- Mar 26, 2007
- 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 |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | F350248-1 | NY | Primary |
Addresses
Primary practice location
Grasslands Road
Valhalla, NY 10595
Mailing address
33 O Brian Rd
Middletown, NY 10940-5027
Phone (914) 493-8558
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 |
|---|---|---|---|
| F350248-1 | NY | MD | Critical Care Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1588782064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 O BRIAN RD",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109405027",
"telephone_number": "914-493-8558",
"fax_number": "914-493-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GRASSLANDS ROAD",
"city": "VALHALLA",
"state": "NY",
"postal_code": "10595",
"telephone_number": "914-493-8558",
"fax_number": "914-493-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "AMANDA",
"middle_name": "JILL",
"credential": "NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NY",
"license": "F350248-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.