Individual provider Active NPI

Amanda Lynn Ferenc, L.P.N

  • Licensed Practical Nurse
  • Bridgeville, DE
National Provider Identifier
1669673604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L2-0009704 Issued in DE
Practice address
6755 Cannon Rd
Bridgeville, DE 19933-3549
Phone
(302) 841-2498
NPI assigned
May 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L2-0009704 DE Primary

Addresses

Primary practice location

6755 Cannon Rd
Bridgeville, DE 19933-3549

Mailing address

6755 Cannon Rd
Bridgeville, DE 19933-3549
Phone (302) 841-2498

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

LicenseStateTypeSpecialty
L2-0009704DEMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669673604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 CANNON RD",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199333549",
            "telephone_number": "302-841-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6755 CANNON RD",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199333549",
            "telephone_number": "302-841-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERENC",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DE",
            "license": "L2-0009704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.