MS. AMANDA FREDERICK (NPI# 1013277557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013277557 |
Entity Type | Individual |
Full Name | MS. AMANDA FREDERICK |
Practice Address |
4129 State St Santa Barbara CA 93110-1848 |
Mailing Address |
964 Weber Cir Apt 204 Ventura CA 93003-8240 |
Practice Telephone | 8059644795 |
Mailing Telephone | 8052086797 |
Enumeration Date | 2012-05-17 |
Last Update Date | 2012-05-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821555293 | Amanda L Frederick | Social Worker | 2283 Highway 348, Blue Springs, MS 38828-9016 | 2019-02-21 |
1386112100 | Amanda Marie Frederick | Physician Assistant | 8936 Cypress Forest Dr, Charlotte, NC 28216-1674 | 2018-11-09 |
1770632556 | Amanda Sue Frederick | Social Worker | 12581 Dallas Lane, Cabool, MO 65689 | 2007-01-09 |
1720439284 | Amanda Fae Frederick | Student in an Organized Health Care Education/Training Program | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2016-06-27 |
1013306596 | Amanda Frederick | Nurse Practitioner | 207 E Pitman St, O Fallon, MO 63366-2620 | 2015-01-21 |
Street Address |
4129 STATE ST |
City | SANTA BARBARA |
State | CA |
Zip Code | 93110-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679638027 | Emilia N M Goaga | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2006-12-26 |
1639704901 | Roselynn Hall | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2020-03-07 |
1437791175 | Carolina Mujica | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2019-10-15 |
1891343208 | Cecily Bernadette Macgregor | Licensed Vocational Nurse | 4129 State St, Santa Barbara, CA 93110-1848 | 2019-08-28 |
1154977833 | Griselda Pacheco | Licensed Practical Nurse | 4129 State St, Santa Barbara, CA 93110-1848 | 2019-08-17 |
1497216261 | Thomas Blaine Simpson | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2019-03-26 |
1609332683 | Taylor Anne Stryker | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2019-02-14 |
1518421296 | Joana Flores | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2019-01-26 |
1063985745 | Graham Z Ashby | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2019-01-06 |
1326520008 | Monica Teresa Sinsun | Counselor | 4129 State St, Santa Barbara, CA 93110-1848 | 2018-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386287431 | Rosanne M. Marquis | Technician | 4131 Creviente Drive, Santa Barbara, CA 93110 | 2019-10-22 |
1467961722 | Chris Latham | Nutritionist | 4760 Amarosa Street, Santa Barbara, CA 93110 | 2017-09-29 |
1770030330 | Laurence Seguin-brault | Social Worker | 66 South Anttonio Road, Santa Barbara, CA 93110 | 2016-09-01 |
1891142626 | Patricia Hurtado | Peer Specialist | 66 S San Antonio Road, Santa Barbara, CA 93110 | 2016-05-23 |
1023494945 | Santa Barbara County Alcogol, Drug & Mental Health Services | Social Worker | 66 S. San Antonio Road, Santa Barbara, CA 93110 | 2015-08-03 |
1225382088 | Terry Gostow | Speech-Language Pathologist | 333 Old Mill Road, #314, Santa Barbara, CA 93110 | 2012-11-01 |
1184914020 | Matt Traube | Marriage & Family Therapist | 3953 Carol Ave, Santa Barbara, CA 93110 | 2011-04-12 |
1679715270 | Abundant Care IIi | Assisted Living Facility | 4589 Anhay Dr, Santa Barbara, CA 93110 | 2009-03-27 |
1508052333 | Chadler R Burgoyne | Orthopaedic Surgery | Sansum Orthopedic Clinic, 4151 Foothill Rd - Bldg A, Santa Barbara, CA 93110 | 2007-09-14 |
1689878894 | Jill Louise Daugherty | Counselor | Admhs, Santa Barbara, CA 93110 | 2007-06-12 |
Find all providers in zip 93110 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003451493 | Francis Scott Hyers | Counselor | 4296 Encore Dr, Santa Barbara, CA 93110-1805 | 2019-11-09 |
1649837543 | Vincent Joseph Gonzales | Counselor | 296 N Hope Ave Spc 66, Santa Barbara, CA 93110-2523 | 2019-05-26 |
1669931374 | Lori Kay Marcel | Counselor | 521 De La Vina St, Santa Barbara, CA 93101-8037 | 2019-03-13 |
1083180780 | Adam Joesph Burridge | Counselor | 1906 Red Rose Way Apt C, Santa Barbara, CA 93109-1553 | 2018-10-19 |
1639668510 | Riley Ellis | Counselor | 225 E Carrillo St Ste 304, Santa Barbara, CA 93101-7172 | 2018-05-06 |
1700323979 | Yezet Ramos Lopez | Counselor | 902 Laguna St, Santa Barbara, CA 93101-1405 | 2017-01-26 |
1275078941 | Sarah Schifferns | Counselor | 1020 Placida Pl, Santa Barbara, CA 93101-3684 | 2017-01-04 |
1659820462 | Emily Eccles | Counselor | 4835 Vieja Dr, Santa Barbara, CA 93110-2044 | 2016-09-22 |
1093167199 | Vivian Isabel Penaranda | Counselor | 110 Bodega Ln, Ap E, Santa Barbara, CA 93110-1434 | 2016-07-13 |
1063878395 | Kelly James Berger | Counselor | 133 East Haley Street, Santa Barbara, CA 93101 | 2015-12-31 |
Find all providers in SANTA BARBARA |
City | SANTA BARBARA |
Zip Code | 93110 |
Please comment or provide details below to improve the information on MS. AMANDA FREDERICK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.