Active NPI
Amanda Nicole Waite, RN, BSN
- Community Health Registered Nurse
- Trenton, MI
National Provider Identifier
1720609159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 4704348270
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704348270 | MI | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psygenics Inc | Community Health | Current | 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.