MISS AMANTHA THEODORE NPI 1003421066

NPI Information

  • NPI: 1003421066
  • Provider Name: MISS AMANTHA THEODORE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 531 E LINCOLN AVE APT 4N
    MOUNT VERNON, NY
    ZIP 10552
  • Phone: (718) 920-9000

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NPI Details

MISS Amantha Theodore is a family nurse practitioner in Mount Vernon, NY with 6 years of experience. MISS Amantha Theodore NPI is 1003421066. 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:

531 E LINCOLN AVE APT 4N
MOUNT VERNON, NY
ZIP 10552-743
Phone: (718) 920-9000

The NPI 1003421066 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 9/15/2020 and was last updated on 9/15/2020.

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
1363LF0000XNurse PractitionerFamilyRN9364653FLORIDAYes

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: 11/21/2025

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