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AMANDA NIEVES
NPI 1417606302
General Practice in Yokosuka, KANAGAWA

Active since March 20, 2022PECOS Enrolled
82 INAOKACHO, YOKOSUKA, KANAGAWA 23800(315) 241-8038 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Nieves NPPES

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

AMANDA NIEVES (NPI 1417606302) is an individual general practice provider in Yokosuka, KANAGAWA, licensed in Virginia (0101279604) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417606302
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameAMANDA NIEVES
Location Address82 INAOKACHOYokosuka, KANAGAWA 23800
Mailing AddressPsc 473 Box 47Fpo, AP 96349-0001 · (315) 241-8038
Phone(315) 241-8038
Sole ProprietorNo
Enumeration DateMarch 20, 2022
Last NPPES UpdateOctober 26, 2023
NPPES CertifiedOctober 26, 2023
✔ NPI 1417606302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101279604
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Nieves is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DZUY V BI OD
Optometrist
82 INAOKACHO
YOKOSUKA, KANAGAWA 23800
(315) 243-5371
PAULA HARTLEY
Psychologist
82 INAOKACHO
YOKSUKA, KANAGAWA 23800
(080) 243-5171
KELLY MINOR CNM
Advanced Practice Midwife
82 INAOKACHO
YOKOSUKA, KANAGAWA 23800
No phone listed

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 Nieves's NPI number?

The NPI number for Amanda Nieves is 1417606302. It was assigned to this individual provider in the NPPES registry on March 20, 2022.

Where is Amanda Nieves located?

Amanda Nieves practices at 82 Inaokacho, Yokosuka, KANAGAWA 23800. The listed phone number is (315) 241-8038.

What is Amanda Nieves's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Amanda Nieves enrolled in Medicare?

Yes. Amanda Nieves is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Nieves was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.