JENNIFER CATHERINE AMON CPNP NPI 1679557987

NPI Information

NPI: 1679557987
Provider Name: JENNIFER CATHERINE AMON, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
143 LONGWATER DR
NORWELL, MA
ZIP 02061
Phone: (781) 878-5200
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Jennifer Catherine Amon, CPNP is a pediatrics nurse practitioner in Norwell, MA. Jennifer Catherine Amon, CPNP NPI is 1679557987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

143 LONGWATER DR
NORWELL, MA
ZIP 02061-683
Phone: (781) 878-5200

The NPI 1679557987 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 10/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		300264	NORTH CAROLINA	No
2	2080A0000X	Pediatrics	Adolescent Medicine	300264	NORTH CAROLINA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	300264	NORTH CAROLINA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	AP60023099	WASHINGTON	No
5	363LP0200X	Nurse Practitioner	Pediatrics	RN2299302	MASSACHUSETTS	Yes
6	363LP0200X	Nurse Practitioner	Pediatrics	RN1008418	DISTRICT OF COLUMBIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04-2297845	OTHER		TRICARE
2	P48969	MEDICARE UPIN
3	1679557987	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
4	S400227613	MEDICARE PIN
5	110102976A	MEDICAID	MASSACHUSETTS
6	04-2297845	OTHER		MULTI-PLAN
7	1679557987	OTHER		FALLON
8	NP8062	OTHER	MASSACHUSETTS	BCBSMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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