AMANDA HALL (NPI# 1073994919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073994919 |
| Entity Type | Individual |
| Full Name | AMANDA HALL |
| Credential | AGACNP-BC |
| Practice Address |
13207 Ravenna Rd Chardon OH 44024-7032 |
| Practice Telephone | 4402856000 |
| Mailing Telephone | 4402856000 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN.334791 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771678 | Amanda Hall | Nurse Practitioner | 1210 Kingsley Ave, Orange Park, FL 32073-4616 | 2017-10-16 |
| 1073023420 | Amanda Joy Hall | Nurse Practitioner | 901 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277-2162 | 2017-10-11 |
| 1073979407 | Amanda Hall | Massage Therapist | 15907 Se Brooklyn St, Portland, OR 97236-2048 | 2016-01-14 |
| 1659742997 | Amanda Hall | Counselor | 9545 Clearview Dr, Broken Arrow, OK 74014-3269 | 2015-10-13 |
| 1205214210 | Amanda Hall | Social Worker | 1031 S Griffin Rd, Atoka, OK 74525-8403 | 2015-05-11 |
| 1841680535 | Amanda Hall | Occupational Therapist | 1575 N Lockwood Ridge Rd, Sarasota, FL 34237-3218 | 2015-02-02 |
| 1215379177 | Amanda L Hall | Pharmacist | 1080 Nw Santa Fe Blvd, High Springs, FL 32643-8404 | 2013-07-20 |
| 1659714079 | Amanda Hall | Speech-Language Pathologist | 2329 Myers Ln, Logansport, IN 46947-1038 | 2013-04-16 |
| 1699012591 | Amanda Hall | Nurse Practitioner | 360 Universal Dr N, North Haven, CT 06473-3163 | 2013-01-11 |
| 1174875520 | Amanda Marie Hall | Physical Therapy Assistant | 7710 Olentangy River Rd, Columbus, OH 43235-1353 | 2012-10-10 |
| Street Address |
13207 RAVENNA RD |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-7032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608394 | Rachael Maxine Lerman | Pharmacist | 13207 Ravenna Rd, Pharmacy Services, Chardon, OH 44024-7032 | 2005-06-13 |
| 1427656420 | Sarah Nicole Blair | Internal Medicine | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-10-12 |
| 1699386565 | Taylor Baum | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-08-13 |
| 1578173225 | Jessica Uhl | Pharmacy | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2020-08-07 |
| 1568008159 | Sarah Knowles | Clinical Nurse Specialist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-11-19 |
| 1457996043 | Laurie Catherine Bruening | Nurse Practitioner | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-11-07 |
| 1881247898 | Nicole Guist | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-07-18 |
| 1295395648 | Krzysztof Ozga | Pharmacist | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-06-18 |
| 1346704285 | Chad William Crouch | Nurse Anesthetist, Certified Registered | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2019-01-24 |
| 1295207769 | Joshua Mark Fegan | Nurse Anesthetist, Certified Registered | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2018-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164878724 | Kimberly K. Rowe | Nurse Practitioner | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2016-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
| 1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1518565837 | Kristen Michelle Swartz | Nurse Practitioner | 1661 Holland Rd Ste 200, Maumee, OH 43537-1659 | 2020-10-09 |
| 1205443454 | Natalie Gayle Brosz | Nurse Practitioner | 1118 Black Horse Run, Loveland, OH 45140-9019 | 2020-09-30 |
| 1982211595 | Jessica Lynne Barnett | Nurse Practitioner | 6632 Echo Ln, Cincinnati, OH 45230-1414 | 2020-09-28 |
| 1538776513 | Krista Ann Korey | Nurse Practitioner | 763 Colbert Cir, Cincinnati, OH 45240-3617 | 2020-09-24 |
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1215543582 | Eliezar Agaran | Nurse Practitioner | 4488 Aspen Dr, Liberty Twp, OH 45011-5210 | 2020-09-21 |
| 1609482058 | Noel Boyd | Nurse Practitioner | 7421 Dog Trot Rd, Cincinnati, OH 45248-1309 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.