Individual provider Active NPI

Amanda Veronica Troiano, CNP

  • Pediatric Nurse Practitioner
  • Grafton, MA
National Provider Identifier
1730862087
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2326174 Issued in MA
Practice address
28 Grafton CMN
Grafton, MA 01519-1534
Phone
(508) 466-7120
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2326174 MA
Pediatric Nurse Practitioner 363LP0200X RN2326174 MA Primary

Addresses

Primary practice location

28 Grafton CMN
Grafton, MA 01519-1534

Mailing address

28 Grafton CMN
Grafton, MA 01519-1534
Phone (508) 466-7120

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2326174MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
PM Pediatrics of New England LLC Past Accepting new patients
Kids on the Common Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.mcnally.1@3493.direct.athenahealth.com

Organizations & group practices 5

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1730862087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GRAFTON CMN",
            "city": "GRAFTON",
            "state": "MA",
            "postal_code": "015191534",
            "telephone_number": "508-466-7120",
            "fax_number": "774-293-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GRAFTON CMN",
            "city": "GRAFTON",
            "state": "MA",
            "postal_code": "015191534",
            "telephone_number": "508-466-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROIANO",
        "first_name": "AMANDA",
        "middle_name": "VERONICA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2326174",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2326174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "55 Lake Ave N",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016550001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grafton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.