Amanda Marie Bernard

Key facts

NPI

1922590348

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

402378 (NY)

Practice address

100 Park St
Glens Falls, NY 12801-4447

Phone

(518) 926-3265

Fax

(518) 926-3273

NPI assigned

Jun 1, 2018

Sex

Female

Sole proprietor

No

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.

• Bernard and Lucca Nurse Practitioners in Psychiatry, PLLC Psychiatry Physician · Saratoga Springs, NY · NPI 1821942103
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2018.

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527811200000",
    "number": "1922590348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014447",
            "telephone_number": "518-926-3265",
            "fax_number": "518-926-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014447",
            "telephone_number": "518-926-3265",
            "fax_number": "518-926-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

• Kerrianne Belline-Mueller, PA-C
• Karina Bengsz
• Nicole Marie Bennett, CNM
• Marsha Benson, FNP
• Jonathan Benjamin Berg, D.O.
• Ralph Lincoln Berry III, MD
• Elizabeth A Bessette, FNP
• Eileen C Betts, LMHC
• Tamekea T Bevas
• Scott A Biasetti, M.D.

All providers in Glens Falls, NY · Psychiatric/Mental Health Nurse Practitioner in New York