AMANDA JUTRAS – NPI #1639740384
Nurse Practitioner

AMANDA JUTRAS is a nurse practitioner located in LINCOLNTON, NC. NPPES has assigned the NPI number 1639740384 to AMANDA JUTRAS on July 05, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363LP0200X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Pediatrics

The NPI profile was previously updated about 3 years ago on Apr 24, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA JUTRAS below.

NPI Profile for
AMANDA JUTRAS

NPI Number
1639740384
Enumeration Date

(about 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA JUTRAS
Primary location
113 DOCTORS PARK
LINCOLNTON, NC 28092-4407
Phone: (704) 735-1441 Fax: (704) 735-1472
Mailing address
968 HAMPTON RD
POMFRET CENTER, CT 06259-2017
Phone: (860) 539-8952 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Apr 24, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
363LP0200X
- Nurse Practitioner / Pediatrics (Primary)
NC 33U8W
163WP0200X
- Registered Nurse / Pediatrics
NC 349451

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
unknown
Endpoint type
Other URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
115 SPENCER ST,
WINSTED, CT 77025-1669