MS. AMANDA GOUIN LARKIN P.A.
NPI 1912254806
Physician Assistant - Medical in Nottingham, MD

Q: What is Amanda Larkin's NPI number?

The NPI number for Amanda Larkin is 1912254806. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Q: What is Amanda Larkin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Larkin was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 09, 2012PECOS Enrolled

5230 CAMPBELL BLVD, NOTTINGHAM, MD 21236(410) 933-9680 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2018, Sep 19, 2016 (2 updates tracked since 2016).

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About Ms. Amanda Gouin Larkin P.a. NPPES

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

MS. AMANDA GOUIN LARKIN P.A. (NPI 1912254806) is an individual medical provider in Nottingham, Maryland, licensed in Maryland (C06220) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912254806

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. AMANDA GOUIN LARKINCredential: P.A.

Location Address5230 CAMPBELL BLVDNottingham, MD 21236

Mailing Address5230 Campbell BlvdNottingham, MD 21236-4983

Phone(410) 933-9680

Sole ProprietorNo

Enumeration DateAugust 9, 2012

Last NPPES UpdateAugust 15, 20182 updates tracked since enumeration

✔ NPI 1912254806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MD · C06220

Also ListedRegistered NurseTaxonomy 163W00000X · License R187745 (MD)

5230 CAMPBELL BLVD, Nottingham, MD 21236

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amanda Gouin Larkin P.a. 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 20

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

KEONNA L WALTON FNP-C

Nurse Practitioner (Family)