Amanda Mackillop, NP
Amanda Mackillop, NP is a Nurse Practitioner in Southold, New York. Qualified in 2021, 5 years ago. Practices with Meeting House Lane Medical Practice PC, a 123-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
54655 Main RdSouthold, NY 11971-4769
Phone: (631) 301-2271
Fax: (631) 212-0482
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 403484 (NY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 780342 (NY) |
Record details
| NPI number | 1770128753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2019 |
| Last updated in NPPES | December 17, 2025 |
| Certification date | December 17, 2025 |
| Mailing address | 54655 Main Rd, Southold, NY 11971-4769 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Meeting House Lane Medical Practice Pc — 123 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Southold
-
Christian Witherell NP in Psychiatry PLLC
19995 Soundview Ave, Southold, NY 11971-2820 · (631) 260-1326
-
Christian Witherell, PMHNP-BC
19995 Soundview Ave, Southold, NY 11971-2820 · (631) 335-5541