Amanda McDonald

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2348229 Issued in MA

Practice address

126 Cove St
Fall River, MA 02720-1357

Phone

(774) 296-1683

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Northeast Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481
  Medicare reassignment NPD
• Northeast Health Services

  • Community/Behavioral Health Agency
  • Taunton, MA
  • NPI 1730525163
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1801264726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRETT DR",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251105",
            "telephone_number": "201-655-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 COVE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201357",
            "telephone_number": "774-296-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Frederick Abbott Way",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017017992",
            "country_code": "US",
            "telephone_number": "201-270-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brett Dr",
            "address_purpose": "LOCATION",
            "city": "Foster",
            "state": "RI",
            "postal_code": "028251105",
            "country_code": "US",
            "telephone_number": "201-655-1397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "AMANDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2022-12-27",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2348229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Ann McCarthy
• Kelli Ann McCarty, PHARMD, RPH
• Chereva Marie McClellan
• Shannon Marie McCrohan
• Christine A McCue, OT
• Jefferey McDonald, BA PSYCHOLOGY
• Julie M McDonald, CNM
• Nicole McDonald, M.D.
• Madison Lexie McElroy
• Raechel Anne McGhee, LICSW, BCD

• Psychiatric/Mental Health Nurse Practitioner in Fall River, MA
• Providers in Fall River, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.