Individual provider Active NPI

Amanda Nicole Waite, RN, BSN

  • Community Health Registered Nurse
  • Trenton, MI
National Provider Identifier
1720609159
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
4704348270 Issued in MI
Practice address
1660 Fort St
Trenton, MI 48183-2003
Phone
(734) 304-4159
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 4704348270 MI Primary

Addresses

Primary practice location

1660 Fort St
Trenton, MI 48183-2003

Mailing address

2980 Maidstone St
Trenton, MI 48183-3520
Phone (734) 363-4025

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704348270MIMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Psygenics Inc Community Health CurrentSince May 1, 2020 Accepting new patients

Locations

7800 W Outer Dr
Fl 3
Detroit, MI 48235

1660 Fort St
Trenton, MI 48183
Phone (734) 304-4159

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1720609159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 MAIDSTONE ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833520",
            "telephone_number": "734-363-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832003",
            "telephone_number": "734-304-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MI",
            "license": "4704348270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.