Individual provider Active NPI

Amanda Mary Woods, RDH, MFT

  • Dental Hygienist
  • South Burlington, VT
National Provider Identifier
1962165993
Registry record updated Oct 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
022706 Issued in VT
Practice address
49 Clover St
South Burlington, VT 05403-5913
Phone
(802) 922-0960
NPI assigned
Oct 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 022706 VT Primary

Addresses

Primary practice location

49 Clover St
South Burlington, VT 05403-5913

Mailing address

49 Clover St
South Burlington, VT 05403-5913
Phone (802) 922-0960

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://app.protectedtrust.com/ Health Information Exchange (HIE)

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
022706VTMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1962165993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CLOVER ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035913",
            "telephone_number": "802-922-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 CLOVER ST",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035913",
            "telephone_number": "802-922-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "AMANDA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RDH, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VT",
            "license": "022706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.protectedtrust.com/",
            "affiliation": "N",
            "endpointDescription": "I use this secured information provider",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://app.protectedtrust.com/",
            "address_1": "49 Clover St",
            "city": "South Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054035913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.