1992030290 NPI number — MS. AMY HEATH SHARP PATENAUDE MA, ED.S.

Table of content: MS. AMY HEATH SHARP PATENAUDE MA, ED.S. (NPI 1992030290)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992030290 NPI number — MS. AMY HEATH SHARP PATENAUDE MA, ED.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PATENAUDE
Provider First Name:
AMY
Provider Middle Name:
HEATH SHARP
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA, ED.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHARP
Provider Other First Name:
AMY
Provider Other Middle Name:
HEATH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1992030290
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2908 W ANGELES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33629-6002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-482-7928
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2908 W ANGELES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33629-6002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-482-7928
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/05/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 222Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TS0200X , with the licence number: SS1189 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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