AMANDA POUSSARD CPNP NPI 1992338511

NPI Information

  • NPI: 1992338511
  • Provider Name: AMANDA POUSSARD, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 NORTH ST
    PITTSFIELD, MA
    ZIP 01201
  • Phone: (413) 447-2100

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NPI Details

Amanda Poussard, CPNP is a pediatrics nurse practitioner in Pittsfield, MA with 6 years of experience. Amanda Poussard, CPNP NPI is 1992338511. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2020

The provider's business location address is:

725 NORTH ST
PITTSFIELD, MA
ZIP 01201-109
Phone: (413) 447-2100

The NPI 1992338511 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 2/21/2020 and was last updated on 5/19/2021.

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
1163W00000XRegistered NurseRN287902GEORGIANo
2363LP0200XNurse PractitionerPediatricsRN2351351MASSACHUSETTSYes

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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