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Deactivated NPI 1528834256 Deactivated / Inactive NPI Female Practitioner

Amanda Kay Andreoni

Prosthetic/Orthotic Supplier • Peru, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amanda Andreoni has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2023
NPI Deactivation Date November 19, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Amanda Andreoni was a registered Prosthetic/Orthotic Supplier practicing in Peru, IL. Throughout an active medical career spanning 1 years, Amanda Andreoni provided care at the practice location at 4419 PROGRESS BLVD until profile deactivation on 2024-11-19.

Practice Location & Contact Primary Location

Practice Address

4419 Progress Blvd

Peru, IL 613541109

Telephone 8157808151
Associated Practice Facility / Clinic
🏢 Girlfriends, Llc Facility NPI 1760630644

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetic/Orthotic Supplier in Peru, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Peru, IL (38 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

Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 19, 2024

Record deactivated on November 19, 2024

NPI Profile Active December 04, 2023

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2023

Registered at 4419 PROGRESS BLVD, PERU, IL 613541109 (Tel: 8157808151)

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Updated Business Mailing Address December 04, 2023

Registered at 4419 PROGRESS BLVD, PERU, IL 613541109 (Tel: 8157808151)

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Provider Name / Credentials Updated December 04, 2023

Recorded as AMANDA ANDREONI

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2023

Prosthetic/Orthotic Supplier

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Initial NPI Registration & Enumeration December 04, 2023

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: 1528834256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2023
Last Update: December 04, 2023
Deactivation Date: November 19, 2024

Mailing Address

4419 Progress Blvd

Peru, IL 613541109

Phone: 8157808151

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.