Individual provider Active NPI

Amanda Jeanne Coleman, APRN

  • Family Nurse Practitioner
  • Bedford, NH
National Provider Identifier
1720568322
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
064353-23 Issued in NH
Practice address
3 Nashua Rd
Bedford, NH 03110-5515
Phone
(603) 472-6700
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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 064353-23 NH Primary

Addresses

Primary practice location

3 Nashua Rd
Bedford, NH 03110-5515

Mailing address

16 Hills Rd
Hooksett, NH 03106-2190
Phone (603) 493-3091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181008003100 NH Practitioner - Nurse Practitioner 0042562753 Reassigns benefits to 1 organization
I20260130001075 MA Practitioner - Nurse Practitioner 0042562753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

112 Spit Brook Rd
Nashua, NH 03062-2869
Phone (603) 577-2273

68 Main St
Pepperell, MA 01463-1560
Phone (978) 433-6317

Hospital & facility affiliations

  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
064353-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. CurrentSince Jun 1, 2021 Accepting new patients
Foundation Medical Partners Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

68 Main St
Pepperell, MA 01463
Phone (978) 433-6317

300 Derry Rd
Hudson, NH 03051
Phone (603) 579-5472

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147

112 Spit Brook Rd
Nashua, NH 03062
Phone (603) 577-2273

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1720568322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HILLS RD",
            "city": "HOOKSETT",
            "state": "NH",
            "postal_code": "031062190",
            "telephone_number": "603-493-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 NASHUA RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105515",
            "telephone_number": "603-472-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "AMANDA",
        "middle_name": "JEANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "064353-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.