Amanda Pedicini, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

RN2288606 Issued in MA

Practice address

800 W Cummings Park Ste 4050
Woburn, MA 01801-6372

Phone

(781) 787-3003

NPI assigned

Jul 17, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• New England Womens Healthcare

  • Obstetrics & Gynecology Physician
  • Woburn, MA
  • NPI 1881120202
  NPD (past)

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1972238715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 4050",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-787-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CUMMINGS PARK STE 4050",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016372",
            "telephone_number": "781-787-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66X Concord St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "MA",
            "postal_code": "018872179",
            "country_code": "US",
            "telephone_number": "781-787-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDICINI",
        "first_name": "AMANDA",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2288606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pca in Pediatric Primary Care LLC
• Pca in Primary Care LLC
• Dennis Peary, OTD, OTR/L
• Tara Pede
• Pediatric&Family Dentistry of Woburn
• Florence Pelissier, COTA
• Scott Pelletier
• Maria Pelosi
• Staci Pendergast, M.ED. CCC-SLP
• Michael Todd Pendolino, DC

• Women's Health Nurse Practitioner in Woburn, MA
• Providers in Woburn, MA by specialty
• Women's Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.