AMANDA BROOKE STEVENS (NPI# 1063755502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063755502 |
| Entity Type | Individual |
| Full Name | AMANDA BROOKE STEVENS |
| Credential | FNP |
| Practice Address |
500 Love St Erwin TN 37650-1734 |
| Practice Telephone | 4237354160 |
| Practice Fax Number | 4237354159 |
| Mailing Telephone | 4237354160 |
| Mailing Fax Number | 4237354159 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 149495 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17524 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760907125 | Amanda Stevens | Physician Assistant | 1731 N Ocean Ave Ste A, Medford, NY 11763-2670 | 2017-08-07 |
| 1972978070 | Amanda Stevens | Speech-Language Pathologist | 112 W Citrus St, Altamonte Springs, FL 32714-2502 | 2015-12-01 |
| 1154705150 | Amanda Stevens | Specialist/Technologist | 40300 N Simonton Blvd, Queen Creek, AZ 85140-3164 | 2015-07-20 |
| 1952629040 | Amanda Lin Stevens | Massage Therapist | Rr 1 Box 315p, Sinks Grove, WV 24976-9385 | 2010-05-13 |
| 1811500572 | Amanda B. Stevens | Pharmacist | 35 Stateline Rd W, Southaven, MS 38671-1705 | 2020-08-24 |
| 1346879657 | Amanda Noel Stevens | Pediatrics | 4900 Mueller Blvd Ste 3s.066c, Austin, TX 78723-3079 | 2020-04-07 |
| 1487205688 | Amanda Stevens | Physical Therapy Assistant | 9701 Monrovia St, Lenexa, KS 66215-1564 | 2019-09-28 |
| 1124518964 | Amanda J Stevens | Massage Therapist | 6 Varney Rd, Wolfeboro, NH 03894-4338 | 2018-05-17 |
| 1215456686 | Amanda Stevens | Social Worker | 9351 Grant St Ste 480, Thornton, CO 80229-4375 | 2017-09-16 |
| 1851830228 | Amanda Stevens | Behavior Technician | 23400 Michigan Ave Ste P40, Dearborn, MI 48124-1928 | 2017-02-18 |
| Street Address |
500 LOVE ST |
| City | ERWIN |
| State | TN |
| Zip Code | 37650-1734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492639 | Charles G Miller II | Internal Medicine | 500 Love St, Erwin, TN 37650-1734 | 2006-05-10 |
| 1336700889 | Laura Kay Berry | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2019-06-25 |
| 1366922205 | Whitley Jade Harrison | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2018-08-20 |
| 1619904570 | Unaka Internal Medicine, LLC | Internal Medicine | 500 Love St, Erwin, TN 37650 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
| 1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
| 1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
| 1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
| 1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
| 1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
| 1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
| 1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
| 1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
| 1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
| Find all providers in zip 37650 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1912952508 | Cynthia Dawn Lee | Nurse Practitioner | 518 E H St, Erwin, NC 28339-2209 | 2006-05-23 |
| 1114922937 | Phyllis C Fisher | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2005-06-17 |
| 1649889072 | Camellia Tweed | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-31 |
| 1538781216 | Ashlee Whaley | Nurse Practitioner | 108 Gay St, Erwin, TN 37650-1228 | 2020-05-15 |
| 1477115707 | Amy Lamb Ennis | Nurse Practitioner | 518 E H St, Erwin, NC 28339-2209 | 2019-07-08 |
| 1336700889 | Laura Kay Berry | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2019-06-25 |
| 1366922205 | Whitley Jade Harrison | Nurse Practitioner | 500 Love St, Erwin, TN 37650-1734 | 2018-08-20 |
| 1437638129 | Kimberly Dawn Holtsclaw | Nurse Practitioner | 1826 N Main Ave, Erwin, TN 37650-8932 | 2018-08-13 |
| 1215369921 | Victoria Lynn Osborne | Nurse Practitioner | 105 Gay St, Erwin, TN 37650-1227 | 2013-08-05 |
| Find all providers in ERWIN | ||||
Please comment or provide details below to improve the information on AMANDA BROOKE STEVENS.
| 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.