Amynah Pradhan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R195163 Issued in MD

Practice address

10 Center Dr BLDG 10
Room 13C429A
Bethesda, MD 20892-1908

Phone

(301) 402-1474

Fax

(301) 496-5370

NPI assigned

Dec 18, 2012

Last updated

Mar 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1689910747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CENTER DR BLDG 10",
            "address_2": "ROOM 13C429A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921908",
            "telephone_number": "301-402-1474",
            "fax_number": "301-496-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CENTER DR BLDG 10",
            "address_2": "ROOM 13C429A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921908",
            "telephone_number": "301-402-1474",
            "fax_number": "301-496-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "AMYNAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R195163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.