Amanda Ciampini

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6782 Issued in CT

Practice address

17 Wall Street
Madison, CT 06443-3477

Phone

(203) 631-5199

NPI assigned

Nov 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Waterstone Counseling Center LLCGroup PAC ID 0749681070, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: centerforcompassionaterecovery.amandaciampini@133536.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waterstone Counseling Center, LLC

  • Family Medicine Physician
  • Madison, CT
  • NPI 1851767933

  CT

  Medicare reassignment Care Compare group NPD
• Waterstone Health LLC

  • Family Medicine Physician
  • Madison, CT
  • NPI 1700600053

  CT

  Medicare reassignment NPD
• Legal Social Work Consultants LLC

  • Clinical Social Worker
  • Branford, CT
  • NPI 1699281691
  NPD

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1689117152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WALL ST",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WALL STREET",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433477",
            "telephone_number": "203-631-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMPINI",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "078982",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bina Lilly Chaddha, MD
• Changing Tides Therapy, LLC.
• Elin L Christensen, M.D.
• Andrea Liane Christianson, CNM
• Anne Christianson, LPC
• Clear the Way Counseling LLC
• Shauna Irene Clifford, SLP-CCC
• Clinical Social Work Services LLC
• Coastal Chiropractic & Wellness Inc.
• Coastal Counseling Associates, LLC

• All providers in Madison, CT
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.