DR. AMANDA BONIFACE ROGERS (NPI# 1013357284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013357284 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BONIFACE ROGERS |
| Other Name | MISS AMANDA QUINN BONIFACE |
| Credential | DNP, ANP-C |
| Practice Address |
2995 Reidville Rd Ste 210 Spartanburg SC 29301-5631 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8642538140 |
| Practice Fax Number | 8645870051 |
| Mailing Telephone | 8645604304 |
| Mailing Fax Number | 8645604413 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 18343 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SC19845019 | 01 |
| SC | NP2544 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027019 | Amanda Rogers | Technician | 71200 Kagg Hill Rd, Saint Clairsville, OH 43950-9606 | 2020-09-15 |
| 1720691215 | Amanda Paige Rogers | Physical Therapist | 695 N Preston Rd Ste 140, Celina, TX 75009-3925 | 2020-08-25 |
| 1477187607 | Amanda Leigh Rogers | Counselor | 15 Hillside Glen Dr, Greer, SC 29650-4650 | 2020-02-26 |
| 1902381304 | Amanda Rogers | Social Worker | 4714 Fm 1488 Rd Ste 117, Conroe, TX 77384-4929 | 2018-10-02 |
| 1114332236 | Amanda Brian Rogers | Pediatrics | 411 E Chestnut St # Street6, Louisville, KY 40202-1713 | 2014-06-26 |
| 1891031662 | Amanda Rogers | Physical Therapist | 19582 Beach Blvd 130, Huntington Beach, CA 92648-2996 | 2012-12-21 |
| 1447451927 | Amanda Maria Rogers | Occupational Therapist | 276 Shelter Rd, Ronkonkoma, NY 11779-4847 | 2007-05-30 |
| 1558319913 | Amanda Elaine Rogers | Nurse Practitioner | 5220 Park Ave, 210, Memphis, TN 38119-3540 | 2006-05-05 |
| 1225637564 | Amanda R Rogers | Nurse Practitioner | 409 Dodds Ave, Chattanooga, TN 37404-3908 | 2020-10-19 |
| 1780215640 | Amanda Cabaniss Rogers | Nurse Practitioner | 6 Emerald Ct, Little Rock, AR 72212-2107 | 2020-01-30 |
| Street Address |
2995 REIDVILLE RD STE 210 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29301-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932152139 | Eric D Norton | Family Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2006-05-18 |
| 1801365994 | Spartanburg Medical Center | Family Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2018-11-19 |
| 1679080055 | Tamara Christine Cook | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2018-01-06 |
| 1649703109 | Kelly Cole Wood | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2017-04-11 |
| 1861786345 | Jessica Leigh Reynolds | Internal Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2011-06-02 |
| 1316955784 | Mary Black Health System, LLC | Durable Medical Equipment & Medical Supplies | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2006-08-03 |
| 1730133596 | Charles Lawrence Glace | Family Medicine | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716253 | Proactive Md Tindall Spartanburg Health Center | Family Medicine | 2273 Hayne St., Spartanburg, SC 29301 | 2020-10-01 |
| 1841757192 | Paladina Health, LLC | Family Medicine | Paladina Health Smith Drug, 9098 Fairforest Road, Spartanburg, SC 29301 | 2019-02-22 |
| 1073021143 | Yamira Valentin-fuentes | Chiropractor | 210 Westgate Mall Dr, Suite 6, Spartanburg, SC 29301 | 2018-01-11 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1356751770 | Lindsey Marie Dillon | Counselor | 250 Dewey Ave., Spartanburg, SC 29301 | 2014-05-07 |
| 1568892461 | Lauren Campbell Heiser | Physical Therapist | 2660 Reidville Rd # 6&7, Spartanburg, SC 29301 | 2013-11-14 |
| 1871843227 | Amy L Roberts | Occupational Therapist | 355 Oak Grove Rd., Spartanburg, SC 29301 | 2012-09-13 |
| 1023384419 | Elizabeth B. Gurley | Pharmacist | 211 West Blackstock Rd, Spartanburg, SC 29301 | 2012-03-29 |
| 1649564063 | Brooke Webster Fuentes | Physician Assistant | 300 E Blackstock Road, Suite E, Spartanburg, SC 29301 | 2011-06-02 |
| 1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
| Find all providers in zip 29301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326542887 | Timekia Renee Hill | Nurse Practitioner | 420 Farnsworth Rd, Spartanburg, SC 29301-1626 | 2018-03-20 |
| 1144697384 | Clint Price | Nurse Practitioner | 2030 North Church Street, Lung and Chest Medical Associates, Spartanburg, SC 29303-3909 | 2015-08-24 |
| 1417271677 | Leslie H. Kennedy | Nurse Practitioner | 101 East Street, Suite 401, Spartanburg, SC 29303-3040 | 2010-03-17 |
| 1649352873 | Helen Rowena Valentine | Nurse Practitioner | 151 E Wood St, Spartanburg, SC 29303-3016 | 2006-10-19 |
| 1851373021 | Kim Waldenmaier | Nurse Practitioner | 101 E Wood St Ste 330, Spartanburg, SC 29303-3040 | 2005-11-15 |
| 1033738323 | Emily Randall Caldwell | Nurse Practitioner | 322 N Pine St, Spartanburg, SC 29302-1631 | 2020-04-16 |
| 1548896616 | April Leanne Gossett | Nurse Practitioner | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2020-03-20 |
| 1467086959 | Andrew Mccraw | Nurse Practitioner | 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303-4219 | 2020-02-24 |
| 1689206690 | Catherine Lee Jenkins | Nurse Practitioner | 101 E Wood St, Spartanburg, SC 29303-3040 | 2020-02-07 |
| 1770113920 | Jessica Massey Medlin | Nurse Practitioner | 400 Locust Grv, Spartanburg, SC 29303-4831 | 2020-01-16 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29301 |
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| 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.