Active NPI
Amanda E Nelson, NP
- Adult Health Nurse Practitioner
- Dover, NH
National Provider Identifier
1962210534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 064024-23
- Practice address
- 10 4TH St Apt 100
Dover, NH 03820-3095 - Phone
- (512) 293-8347
- NPI assigned
- Dec 27, 2024
- Last updated
- Dec 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 064024-23 | NH | Primary |
Addresses
Primary practice location
10 4TH St Apt 100
Dover, NH 03820-3095
Mailing address
499 Prospect St
Rollinsford, NH 03869-5612
Phone (512) 293-8347
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064024-23 | NH | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1962210534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 PROSPECT ST",
"city": "ROLLINSFORD",
"state": "NH",
"postal_code": "038695612",
"telephone_number": "512-293-8347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 4TH ST APT 100",
"city": "DOVER",
"state": "NH",
"postal_code": "038203095",
"telephone_number": "512-293-8347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NH",
"license": "064024-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.