Individual provider Active NPI

Amanda J Howard, APN

  • Family Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1689901373
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R233053 Issued in MD
Practice address
116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027
Phone
(410) 897-9841
Fax
(410) 897-9852
NPI assigned
Nov 17, 2009
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R233053 MD Primary

Addresses

Primary practice location

116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027

Mailing address

116 Defense Hwy
Suite 400
Annapolis, MD 21401-7027
Phone (410) 897-9841

Other identifiers 1

IdentifierTypeStateIssuer
R223053OtherMDSTATE LICENSE

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14354TNMDPhysical Therapist
R233053MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Star Medical Group, LLC Past Accepting new patients
Titus C. Abraham, MD, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1689901373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 DEFENSE HWY",
            "address_2": "SUITE 400",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017027",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R233053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R223053",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.