Amanda McAllister, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

18442 APRN Issued in SC

Practice address

1341 College Park Rd Ste a
Summerville, SC 29486

Phone

(781) 413-5414

NPI assigned

Aug 20, 2013

Last updated

Aug 13, 2018By the provider in NPPES

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seaside Family Medicine, LLC

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1043707557

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1982037495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 COLLEGE PARK RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294868635",
            "telephone_number": "843-400-0028",
            "fax_number": "843-790-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 COLLEGE PARK RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29486",
            "telephone_number": "781-413-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "18442 APRN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Jenay Mays
• Joyce Elizabeth Drew Mazur
• Latrina Denise Mazyck, RN
• Malcolm Mazyck
• Dana Foster McAfee, NP
• Roxanne Lynne McArn, BS, CPSS, ADC-IP
• Molly A McBrayer, AGACNP-BC
• Vanessa Fallon McBride, PHARMD
• Barbara McCall
• Crystal C McCall, LPC-A

• Pediatric Nurse Practitioner in Summerville, SC
• Providers in Summerville, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.