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AMANDA KATHRYN FAXON PA-C
NPI 1326751454
Physician Assistant in New Haven, CT

Active since January 04, 2023
100 CHURCH ST S STE A250, NEW HAVEN, CT 06519(203) 785-2860 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Amanda Kathryn Faxon Pa-c NPPES

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

AMANDA KATHRYN FAXON PA-C (NPI 1326751454) is an individual physician assistant in New Haven, Connecticut and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1326751454
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA KATHRYN FAXONCredential: PA-C
Location Address100 CHURCH ST S STE A250New Haven, CT 06519-1703
Mailing AddressPo Box 208083New Haven, CT 06520-8083
Phone(203) 785-2860
Sole ProprietorNo
Enumeration DateJanuary 4, 2023
NPPES CertifiedJanuary 4, 2023
✔ NPI 1326751454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 CHURCH ST S STE A250, New Haven, CT 06519
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Other Providers at the Same Location NPPES 3

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

ALEXANDRIA GARINO PA
Physician Assistant (Medical)
100 CHURCH ST S STE A250
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-5539
EDEN ANONYE
Physician Assistant
100 CHURCH ST S STE A250
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 737-1003
ROSA KIM PA-C
Physician Assistant
100 CHURCH ST S STE A250
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 785-2860

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 Faxon's NPI number?

The NPI number for Amanda Faxon is 1326751454. It was assigned to this individual provider in the NPPES registry on January 4, 2023.

Where is Amanda Faxon located?

Amanda Faxon practices at 100 Church St S Ste A250, New Haven, CT 06519. The listed phone number is (203) 785-2860.

What is Amanda Faxon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Amanda Faxon was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.