Individual provider Active NPI

Amanda Nicole Strada

  • Specialist
  • Staten Island, NY
National Provider Identifier
1760800783
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2588671 Issued in NY
Practice address
176 Ashworth Avenue
Staten Island, NY 10314-2950
Phone
(609) 865-3092
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 833078141 NY
Specialist 174400000X 2588671 NY Primary

Addresses

Primary practice location

176 Ashworth Avenue
Staten Island, NY 10314-2950

Mailing address

176 Ashworth Avenue
Staten Island, NY 10314-2950
Phone (609) 865-3092

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

State licenses

LicenseStateTypeSpecialty
833078141NYMDBehavioral Analyst
2588671NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Akw Services Inc Past Accepting new patients

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1760800783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ASHWORTH AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142950",
            "telephone_number": "609-865-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ASHWORTH AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142950",
            "telephone_number": "609-865-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRADA",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "833078141",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2588671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.