Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Desenna, CRNP

Individual provider Family Nurse Practitioner · NPI 1639752595

Amanda Desenna, CRNP is a Nurse Practitioner in South Kingstown, Rhode Island. Qualified in 2020, 6 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

100 Kenyon Ave
South Kingstown, RI 02879-4216
Phone: (401) 782-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN02643 (RI)

Record details

NPI number1639752595
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address1945 S Woodstock St, Philadelphia, PA 19145-2829

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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