Individual provider Active NPI

Amanda Sitoloma, FNP

  • Family Medicine Physician
  • Dover, DE
National Provider Identifier
1982430724
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LG-0012879 Issued in DE
Practice address
200 Banning St Ste 280
Dover, DE 19904-3489
Phone
(302) 400-9999
Fax
(302) 487-1167
NPI assigned
Sep 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X LG-0012879 DE Primary

Addresses

Primary practice location

200 Banning St Ste 280
Dover, DE 19904-3489

Mailing address

PO Box 67537
Newark, NJ 07101-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20250205001774 DE Practitioner - Nurse Practitioner 0244760395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutrihealth LLCGroup PAC ID 9537597919, 29 clinicians

Practice addresses (Care Compare)

20930 Dupont Blvd
Unit 202
Georgetown, DE 19947-1724
Phone (302) 856-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrihealth LLC CurrentSince Jan 6, 2025 Accepting new patients

Locations

20930 DuPont Blvd
Unit 202
Georgetown, DE 19947
Phone (302) 202-3438

310 Mullet Run
Milford, DE 19963
Phone (302) 424-0600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1982430724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67537",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 280",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043489",
            "telephone_number": "302-400-9999",
            "fax_number": "302-487-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITOLOMA",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "LG-0012879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.