Amanda Hall, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

079158 Issued in CT

Practice address

360 Universal Dr N
North Haven, CT 06473-3163

Phone

(203) 361-3490

NPI assigned

Jan 11, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396137600000",
    "number": "1699012591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 UNIVERSAL DR N",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733163",
            "telephone_number": "203-361-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 UNIVERSAL DR N",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733163",
            "telephone_number": "203-361-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2014-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9286392",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "079158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Grover, RN BSN
• Eric Grubman, MD, FACC, NASPE
• Steven Guichelaar, NP
• Caroline Haffner, LPC
• Eric Thomas Haig
• Shelley Victoria Halligan, PMHNP
• Pamela Halloran, COTA
• Fawad Hameedi, M.D.
• Hanger Prosthetics & Orthotics Inc
• Meaghan Harkins, RN, NBC-HWC

• Adult Health Nurse Practitioner in North Haven, CT
• Providers in North Haven, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2014; 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.