Individual provider Active NPI

Amanda Hinderman, R.P.A.

  • Radiology Practitioner Assistant
  • Cary, NC
National Provider Identifier
1952845067
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
12WI1460 Issued in WI
Practice address
400 Ashville Ave Ste 330
Cary, NC 27518-6134
Phone
(919) 371-2371
Fax
(919) 851-1518
NPI assigned
Dec 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 12WI1460 WI Primary

Addresses

Primary practice location

400 Ashville Ave Ste 330
Cary, NC 27518-6134

Mailing address

400 Ashville Ave Ste 330
Cary, NC 27518-6134
Phone (919) 371-2371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12WI1460WIMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1952845067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE STE 330",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-371-2371",
            "fax_number": "919-851-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ASHVILLE AVE STE 330",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186134",
            "telephone_number": "919-371-2371",
            "fax_number": "919-851-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDERMAN",
        "first_name": "AMANDA",
        "credential": "R.P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "WI",
            "license": "12WI1460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.