Individual provider Active NPI

Amanda Elizabeth Ford, RN

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1841990843
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357796 Issued in NY
Practice address
40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903
Phone
(718) 215-1818
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2372771 MA
Family Nurse Practitioner 363LF0000X 357796 NY Primary
Registered Nurse 163W00000X N08604 NY

Addresses

Primary practice location

40 Flatbush Avenue Ext
Brooklyn, NY 11201-2903

Mailing address

57 Spencer PL
Hempstead, NY 11550-5818
Phone (516) 782-7173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251129000523 NY Practitioner - Nurse Practitioner 2860985769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Project, Inc.Group PAC ID 1254223217, 47 clinicians

Practice addresses (Care Compare)

271 Myrtle Ave
Brooklyn, NY 11201-3281
Phone (212) 271-7200

356 W 18TH St
New York, NY 10011-4401
Phone (212) 271-7200

40 Flatbush Ave Ext
FL 3
Brooklyn, NY 11201-2903
Phone (212) 271-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2372771MAMDRegistered Nurse
N08604NYMDRegistered Nurse
357796NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. CurrentSince Sep 22, 2025 Accepting new patients
Community Health Project Inc. CurrentSince Sep 22, 2025 Accepting new patients
Community Health Project Inc. Current Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

40 Flatbush Avenue Ext
Fl 3
Brooklyn, NY 11201
Phone (212) 271-7191

40 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (718) 215-1818

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1841990843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 SPENCER PL",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505818",
            "telephone_number": "516-782-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "718-215-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2372771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357796",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N08604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.