MRS. AMANDA LEE GRAHAM (NPI# 1023668605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023668605 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA LEE GRAHAM |
| Other Name | AMANDA LEE HOWE |
| Credential | RN |
| Practice Address |
800 Prudential Dr Jacksonville FL 32207-8211 |
| Mailing Address |
13 Bonita Dr Ponte Vedra Beach FL 32082-2008 |
| Practice Telephone | 9042022000 |
| Mailing Telephone | 2629145061 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN9312579 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336657055 | Amanda Leigh Graham | Counselor | 1453 Big Hill Rd, Pennington Gap, VA 24277-8133 | 2018-01-16 |
| 1023036738 | Amanda J Graham | Counselor | 3622 Lyckan Pkwy Ste 4003, Durham, NC 27707-2566 | 2006-07-18 |
| 1568061448 | Amanda Lynn Graham | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2020-10-21 |
| 1013536291 | Amanda Jean Graham | Behavior Technician | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2020-04-08 |
| 1407487523 | Amanda Graham | Social Worker | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-01-28 |
| 1386293942 | Amanda Marie Graham | Physical Therapy Assistant | 9425 N Nevada St Ste 100, Spokane, WA 99218-1286 | 2019-09-06 |
| 1578112363 | Amanda Graham | Nurse Practitioner | 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 | 2019-09-05 |
| 1174175285 | Amanda Kay Graham | Registered Nurse | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-07-10 |
| 1356877245 | Amanda Jean Graham | Counselor | 216 S Main St, Hobart, OK 73651-3628 | 2017-05-11 |
| 1588033997 | Amanda Graham | Social Worker | 30 Elizabeth St, Derby, CT 06418 | 2015-09-16 |
| Street Address |
800 PRUDENTIAL DR |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913854 | Annette Davidson Bell | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2005-06-27 |
| 1508467523 | Heather Smith | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-11-05 |
| 1306446638 | Jessica Schilz | Dietitian, Registered | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-10-27 |
| 1033718747 | Kiara Michelle Simmons | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-22 |
| 1477151488 | Nicole Schumaker | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-10-12 |
| 1609482868 | Anna D Denson | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-22 |
| 1578179453 | Emily Guan Duani | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2020-09-16 |
| 1487264636 | Heidi Marie Rebholz | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-08-03 |
| 1326657982 | Everrenz Health, Inc | Family Medicine | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-29 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013975374 | Judith Ann Damstrom | Registered Nurse | 414 Creedmoor Rd, Jacksonville, NC 28546-6021 | 2006-05-03 |
| 1174151583 | Angela D Keenan | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-03-31 |
| 1114563301 | Jessica Cornelia | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-11-21 |
| 1720624406 | Kerry Mclaughlin | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2019-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1437701695 | Kristine Gromlovits | Registered Nurse | 210 N Palmetto Ave Ste A-102, Daytona Beach, FL 32114-7521 | 2019-07-09 |
| 1245890482 | Jordan Najjar | Registered Nurse | 1078 Jeffery St, Boca Raton, FL 33487-4110 | 2019-06-19 |
| 1740742006 | Suzan Tamesha Edwards | Registered Nurse | 2028 Winners Cir, North Lauderdale, FL 33068-5447 | 2019-04-04 |
| 1386164291 | Just In Time Nursing, Inc | Registered Nurse | 2100 S. Ocean Blvd, Suite# 106n, Palm Beach, FL 33480-5207 | 2017-06-21 |
| 1346773900 | Christiane Previlma | Registered Nurse | 2006 Cross Breeze Dr, Wellington, FL 33414-8075 | 2017-04-10 |
| 1871830588 | Nancy Carol Gonzalez | Registered Nurse | 11946 Sw 54th St, Cooper City, FL 33330-4242 | 2013-01-15 |
| 1558637009 | Kayse Mcgovern | Registered Nurse | 2505 Junior St, Orange City, FL 32763-8000 | 2012-03-29 |
| 1295961324 | Rosalee Cipolla | Registered Nurse | 7847 Oregold Dr, New Port Richey, FL 34654-6363 | 2009-06-03 |
| 1003055955 | Lissa West | Registered Nurse | 3606 Maclay Blvd Ste 102, Tallahassee, FL 32312 | 2009-02-17 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.