Amanda L Stallings

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

168641 Issued in NY

Practice address

14 Cottage Ave
Newburgh, NY 12550-3326

Phone

(184) 550-5185

NPI assigned

Dec 18, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1922876093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 COTTAGE AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503326",
            "telephone_number": "184-550-5185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 COTTAGE AVE",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503326",
            "telephone_number": "184-550-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "AMANDA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "168641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey St John, RN
• St Luke's Cornwall Hospital (Gateway Hospital Physicians)
• St Lukes Cornwall Hospital
• St. Luke's Cornwall Hospital
• St. Luke's Cornwall Hospital
• Starsnmars
• Beau States, RN
• Rachel Alyssa Staulcup, MS
• Donald M Stavis, M.D.
• Jennifer Lauren Steckenrider, OD

• Licensed Practical Nurse in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.