AMANDA TEDESCO
NPI 1316740939
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 29, 2025
3400 SPRUCE ST, PHILADELPHIA, PA 19104(909) 907-2022 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Tedesco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA TEDESCO (NPI 1316740939) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1316740939
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA TEDESCO
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address35470 Acacia AveYucaipa, CA 92399-3912 · (909) 907-2022
Sole ProprietorYes
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
NPI 1316740939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE ST, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Anesthesiology (Critical Care Medicine)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Tedesco's NPI number?

The NPI number for Amanda Tedesco is 1316740939. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Amanda Tedesco located?

Amanda Tedesco practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (909) 907-2022.

What is Amanda Tedesco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Tedesco was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.