Active NPI
Amanda Alaksin
- Registered Nurse
- Wexford, PA
National Provider Identifier
1669336293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN630773
- Practice address
- 11279 Perry Hwy Ste 505
Wexford, PA 15090-9396 - Phone
- (412) 206-1158
- Fax
- (412) 219-5205
- NPI assigned
- Dec 9, 2025
- Last updated
- Dec 9, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN630773 | PA | Primary |
Addresses
Primary practice location
11279 Perry Hwy Ste 505
Wexford, PA 15090-9396
Mailing address
11279 Perry Hwy Ste 505
Wexford, PA 15090-9396
Phone (412) 206-1158
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN630773 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DV Professional Group PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Allison Park, PA
- NPI 1114774577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1669336293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11279 PERRY HWY STE 505",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909396",
"telephone_number": "412-206-1158",
"fax_number": "412-219-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11279 PERRY HWY STE 505",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909396",
"telephone_number": "412-206-1158",
"fax_number": "412-219-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAKSIN",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN630773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
- Advanced Pain Medicine PC (Advanced Pain Medicine Lab)
- Aeg Pennsylvania Professional Inc (Pediatric & Adult Vision Care)
- Joseph Nicholas Agnesi, MD
- Humza Ahmed, MD
- Olusola Akindele
- Kelly Alaksin, CRNP
- Devon A Albano, MOT, OTR/L
- Kelly Rae Albert, PSYD
- Jocelyne Adele Albrecht Drain, PTA
- Alcala Med Consulting, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.