Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578970422 Individual Practitioner Female Practitioner

Amanda Damon , CPNP

Nurse Practitioner - Pediatrics • Phoenix, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Amanda Damon, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Phoenix, AZ. Official NPI practice address is registered at 1919 E THOMAS RD.

Practice Location & Contact Primary Location

Practice Address

1919 E Thomas Rd

Phoenix, AZ 850167710

Telephone 6029330895
Fax 6029332436
Associated Practice Facility / Clinic
🏢 Phoenix Children's Hospital Facility NPI 1760480503

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.9 Yrs
Regional Practice Density
244 Specialists

Practicing in Phoenix, AZ (443 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-21
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License AZ 272758

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
153659 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Ioana Macdonald

Physician Assistant

NPI 1063913382
Dr. David Andrews , MD

Dermatology - Pediatric Dermatology

NPI 1073860920

Doctor of Medicine (M.D.)

Dr. Amy Norton , DPT

Physical Therapist

NPI 1245431329

Doctor of Physical Therapy

NPI 1508190133

Doctor of Medicine (M.D.)

Dr. Daniela Russi , MD

Dermatology - Pediatric Dermatology

NPI 1548502701

Doctor of Medicine (M.D.)

Dr. Harper Price , MD

Dermatology - Pediatric Dermatology

NPI 1659593895

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2024

Nurse Practitioner (License #272758 in AZ)

📍
Updated Practice Location June 29, 2022

Registered at 1919 E THOMAS RD, PHOENIX, AZ 850167710 (Tel: 0293308956)

📍
Updated Business Mailing Address June 29, 2022

Registered at 2108 E THOMAS RD STE 130, PHOENIX, AZ 850167761 (Tel: 6029331813)

👤
Provider Name / Credentials Updated June 29, 2022

Recorded as AMANDA DAMON, CPNP

NPI Profile Active July 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2014

Registered at 233 E ERIE ST, SUITE 304, CHICAGO, IL 606112926 (Tel: 6168904952)

📍
Updated Business Mailing Address July 11, 2014

Registered at 233 E ERIE ST, SUITE 304, CHICAGO, IL 606112926 (Tel: 6168904952)

👤
Provider Name / Credentials Updated July 11, 2014

Recorded as AMANDA GOODYKE, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Nurse Practitioner (License #209011648 in IL)

🟢
Initial NPI Registration & Enumeration July 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578970422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2014
Last Update: June 21, 2024
Sole Proprietor: Yes

Mailing Address

2108 E Thomas Rd Ste 130

Phoenix, AZ 850167761

Phone: 6029331813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.