MRS. AMANDA JOAN AMICUCCI CPC
NPI 1831594274
Peer Specialist in Renton, WA
- Individual
- Female
- Peer Specialist
About AMANDA AMICUCCI
This page provides the complete NPI Profile along with additional information for Amanda Amicucci, a provider established in Renton, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1831594274 assigned on October 2014. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1831594274 Verify this NPI
- Provider Name
- MRS. AMANDA JOAN AMICUCCI CPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 221 WELLS AVE S SUITE 100 RENTON, WA 98057
- Location Phone
- (425) 528-2008
- Mailing Address
- 2310 165TH AVENUE CT E LAKE TAPPS, WA 98391
- Mailing Phone
- (206) 643-0283
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-28-2014
- Last Update Date
- 10-28-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License State
- WA
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831594274, enumerated as an "individual" on October 28, 2014.
The provider is located at 221 WELLS AVE S SUITE 100 RENTON, WA 98057 and the phone number is (425) 528-2008.
Peer Specialist with taxonomy code 175T00000X.