Individual provider Active NPI

Amanda Lee Wood-Friend, FNP-C

  • Family Nurse Practitioner
  • Merrimack, NH
National Provider Identifier
1760401335
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
054091-23 Issued in NH
Practice address
2 Dobson Way
Merrimack, NH 03054-4340
Phone
(603) 471-6069
Fax
(603) 471-6068
NPI assigned
Jul 18, 2006
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 054091-23 NH Primary

Addresses

Primary practice location

2 Dobson Way
Merrimack, NH 03054-4340

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (603) 319-6223

Other identifiers 1

IdentifierTypeStateIssuer
3073070MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070207000552 NH Practitioner - Nurse Practitioner 5890797690 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054091-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Health Services Family CurrentSince Apr 15, 2022 Accepting new patients
Center for Eating Disorders Management PastSince Feb 5, 2021 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

23 Stiles Rd
Ste 210
Salem, NH 03079
Phone (603) 601-4766

Interoperability endpoints

  • Direct secure messaging: awoodfriend134610@tuftsmedicine.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1760401335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "603-319-6223",
            "fax_number": "603-319-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DOBSON WAY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544340",
            "telephone_number": "603-471-6069",
            "fax_number": "603-471-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD-FRIEND",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "054091-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3073070",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.