AMANDA WHITE (NPI# 1053925966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053925966 |
| Entity Type | Individual |
| Full Name | AMANDA WHITE |
| Practice Address |
902 Route 49 Matewan WV 25678-7837 |
| Mailing Address |
Po Box 298 Matewan WV 25678-0298 |
| Practice Telephone | 3044264899 |
| Mailing Telephone | 3044264899 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861422 | Amanda Jane White | Registered Nurse | 359 Court St S, Lewisburg, WV 24901-2046 | 2020-08-12 |
| 1689290264 | Amanda Michelle White | Technician | 938 Geary St Sw, Palm Bay, FL 32908-4206 | 2020-06-19 |
| 1497251953 | Amanda White | Social Worker | 147 Links Dr Apt 44c, Canton, MS 39046-5256 | 2018-04-03 |
| 1710498225 | Amanda Emeline White | Counselor | 232 S 4th St Ste 3m, Philadelphia, PA 19106-3704 | 2017-10-24 |
| 1457713083 | Amanda White | Chore Provider | 7511 Ley Rd, Houston, TX 77028-2435 | 2016-03-23 |
| 1295154532 | Amanda White | Registered Nurse | 2070 Northbrook Blvd Ste A20, North Charleston, SC 29406-9324 | 2014-04-15 |
| 1205171170 | Amanda Jo White | Social Worker | 207 Vivian St, Hancock, MI 49930-2132 | 2012-12-04 |
| 1134481377 | Amanda Evelyn White | Family Medicine | 19485 Old Jetton Rd Ste 200, Cornelius, NC 28031 | 2012-06-13 |
| 1740586809 | Amanda Michelle White | Developmental Therapist | 5647 Wittmer Meadows Drive, Milford, OH 45150-8802 | 2011-02-07 |
| 1063625077 | Amanda Marie White | Nurse's Aide | 9180 State Route 28, Frankfort, OH 45628-9573 | 2007-05-07 |
| Street Address |
902 ROUTE 49 |
| City | MATEWAN |
| State | WV |
| Zip Code | 25678-7837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163226 | Justin Marcum | Technician | 135 Lynn Bottom, Matewan, WV 25678 | 2020-10-30 |
| 1508466327 | Jasmine Bailey | Technician | 40 Belmont Drive, Matewan, WV 25678 | 2020-10-30 |
| 1831798651 | Lindsey Easter Daniels | Technician | 79 Simpkins Drive, Matewan, WV 25678 | 2020-10-22 |
| 1093314833 | Amya Bell | Technician | 24 Riverview Drive, Matewan, WV 25678 | 2020-10-22 |
| 1871104026 | Amanda Sue Adams | Technician | 37 Sulphur Creek, Matewan, WV 25678 | 2020-08-12 |
| 1366053621 | Krystal Nicole Curry | Technician | 1234 Mate Creek Road, Matewan, WV 25678 | 2020-08-11 |
| 1982214508 | Teresa Lee Cantrell | Technician | 7245 Beech Creek, Matewan, WV 25678 | 2020-08-07 |
| 1285728188 | Jerry Mounts Dds, Inc | Dentist | Mate Street, Matewan, WV 25678 | 2006-10-03 |
| 1174621916 | Appalachian Regional Healthcare Inc | Pharmacy | 7 Matewan St, Matewan, WV 25678 | 2006-09-20 |
| 1982680211 | Appalachian Regional Healthcare Inc. | Pharmacy | 7 Matwan Street, Matewan, WV 25678 | 2005-12-19 |
| Find all providers in zip 25678 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163226 | Justin Marcum | Technician | 135 Lynn Bottom, Matewan, WV 25678 | 2020-10-30 |
| 1508466327 | Jasmine Bailey | Technician | 40 Belmont Drive, Matewan, WV 25678 | 2020-10-30 |
| 1295335685 | Kathy Lynn Bowling | Technician | 1109 Route 49, Matewan, WV 25678-7992 | 2020-10-27 |
| 1831798651 | Lindsey Easter Daniels | Technician | 79 Simpkins Drive, Matewan, WV 25678 | 2020-10-22 |
| 1093314833 | Amya Bell | Technician | 24 Riverview Drive, Matewan, WV 25678 | 2020-10-22 |
| 1285248104 | Deborah Kay Williams | Technician | 935 Route 49, Matewan, WV 25678-7836 | 2020-09-08 |
| 1518571553 | Gwendolyn Joan Thornsbury | Technician | 100 Warm Holw, Matewan, WV 25678-6501 | 2020-09-08 |
| 1841802626 | Darrell Lee Fouch | Technician | 17 Buck Ln, Matewan, WV 25678-7823 | 2020-08-21 |
| 1104438993 | Joye L Gooslin | Technician | 5 Ivory St, Matewan, WV 25678-1401 | 2020-08-21 |
| 1912519794 | Vanessa Sue Hurley | Technician | 993 Route 49, Matewan, WV 25678-7836 | 2020-08-21 |
| Find all providers in MATEWAN | ||||
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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.