Individual provider Active NPI

Amanda Ann Hoose, C-NP

  • Family Nurse Practitioner
  • Parma Heights, OH
National Provider Identifier
1871878199
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12792-NP Issued in OH
Practice address
9050 N Church Dr
Parma Heights, OH 44130-4701
Phone
(440) 292-0226
Fax
(440) 292-0228
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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 COA.12792-NP OH Primary

Addresses

Primary practice location

9050 N Church Dr
Parma Heights, OH 44130-4701

Mailing address

20455 Lorain Road
Suite T01
Fairview Park, OH 44126-3495
Phone (440) 799-4224

Other names 1

  • Amanda Ann Magoch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260625003891 OH Order and Referring Only - Nurse Practitioner 4789841313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.12792-NPOHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1871878199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN ROAD",
            "address_2": "SUITE T01",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263495",
            "telephone_number": "440-799-4224",
            "fax_number": "440-799-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 N CHURCH DR",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304701",
            "telephone_number": "440-292-0226",
            "fax_number": "440-292-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSE",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12792-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MAGOCH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parma Heights, OH

Sources for this page

Verify at the official NPI Registry.