AMANDA LEE JENNINGS (NPI# 1083046627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083046627 |
| Entity Type | Individual |
| Full Name | AMANDA LEE JENNINGS |
| Practice Address |
130 Main St Box 142 Port Byron NY 13140-9998 |
| Practice Telephone | 3157024975 |
| Mailing Telephone | 3157024975 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 298301 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1528563848 | Amanda Jennings | Nurse Practitioner | 3835 Misty Falls Ln, Friendswood, TX 77546-3260 | 2018-03-28 |
| 1912227000 | Amanda Marie Jennings | Chiropractor | 137 N Walnut St, Suite 5, Byron, IL 61010-1475 | 2010-06-11 |
| 1679194948 | Amanda Jennings | Nurse Practitioner | 1103 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5784 | 2020-04-28 |
| 1508372673 | Amanda Lynn Jennings | Social Worker | 1375 Commerce Dr, New Lexington, OH 43764-9511 | 2017-12-27 |
| 1306375035 | Amanda Jennings | Family Medicine | 222 Piedmont Ave Ste 2200, Cincinnati, OH 45219-4238 | 2017-06-06 |
| 1114392487 | Amanda Jennings | Specialist/Technologist | 1435 Village Drive, Dept 2805, Ogden, UT 84405-5105 | 2015-12-11 |
| 1003254129 | Amanda H Jennings | Occupational Therapist | 1218 N Division Ave Ste 102, Sandpoint, ID 83864-5054 | 2013-06-11 |
| 1942549670 | Amanda Jennings | Social Worker | 505 Silhavy Rd, Ste 100, Valparaiso, IN 46383-4461 | 2013-01-31 |
| 1558636589 | Amanda Marie Jennings | Specialist | 12015 Ne 8th St, Suite 1, Bellevue, WA 98005-3141 | 2012-03-08 |
| Street Address |
130 MAIN ST BOX 142 |
| City | PORT BYRON |
| State | NY |
| Zip Code | 13140-9998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483062 | Catherine M Manrow | Technician | 8762 Purser Rd, Port Byron, NY 13140 | 2019-08-26 |
| 1396356317 | Sarah-anne Monique Rindfleisch | Registered Nurse | 60 Main St, Port Byron, NY 13140 | 2020-08-13 |
| 1093265589 | Chrystal Behm | Licensed Practical Nurse | 60 Main St, Port Byron, NY 13140 | 2016-10-07 |
| 1376092072 | Alexandria Hudgins | Registered Nurse | 60 Main St, Port Byron, NY 13140 | 2016-09-23 |
| 1811292766 | Herbst Pharmacy Inc | Pharmacy | 1 Church St, Port Byron, NY 13140 | 2011-01-24 |
| 1801125877 | Melissa Teneil Ayala | Physician Assistant | 60 Main Street, Pt. Byron, NY 13140 | 2009-12-21 |
| 1144557281 | Adesuwa B Bello | Dentist | 60 Main St, Port Byron, NY 13140 | 2009-11-10 |
| 1780606798 | Christine Ann Matijas | Nurse Practitioner | 60 Main Street, Port Byron, NY 13140 | 2006-07-25 |
| 1841606803 | David Hahn | Nurse Practitioner | 60 Main Street, Pt Byron, NY 13140-0359 | 2014-07-10 |
| 1790063162 | J Derek Brederson | Nurse Practitioner | 60 Main St, Port Byron, NY 13140-0359 | 2011-08-02 |
| Find all providers in zip 13140 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568829398 | Amy Tillmon | Licensed Practical Nurse | 20 Mcclellan St, Port Byron, NY 13140-7706 | 2016-01-25 |
| 1447719950 | Margaret Jenner | Licensed Practical Nurse | 60 Main St, Port Byron, NY 13140-1314 | 2019-03-14 |
| 1093265589 | Chrystal Behm | Licensed Practical Nurse | 60 Main St, Port Byron, NY 13140 | 2016-10-07 |
| 1730410994 | Christi Grace Littlefield | Licensed Practical Nurse | 213 Main St, Port Byron, NY 13140-3304 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780503 | Michael Lee Hendryx | Licensed Practical Nurse | 803 Bell St, Olean, NY 14760-3005 | 2020-11-06 |
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1588265433 | Deanna Lucas | Licensed Practical Nurse | 206 Prospect Pl, Bay Shore, NY 11706-1537 | 2020-11-06 |
| 1659972511 | Katiesianna Marie Kovalsky | Licensed Practical Nurse | 718 Griswold Hts, Troy, NY 12180-5168 | 2020-11-05 |
| 1538760608 | Shanequa Marshall | Licensed Practical Nurse | 100 Park Ave Apt 1, Amityville, NY 11701-3165 | 2020-11-05 |
| 1780285007 | Jarleyn Severino | Licensed Practical Nurse | 10 Waterview Pl, Lynbrook, NY 11563-1921 | 2020-11-03 |
| 1023619590 | Lisa A Loomis | Licensed Practical Nurse | 2198 Us Highway 20, Nassau, NY 12123-1733 | 2020-11-02 |
| 1235739061 | Kathleen Zalamea | Licensed Practical Nurse | 37 Howells Rd, Bay Shore, NY 11706-6502 | 2020-10-30 |
| 1649870494 | Khairat Salami | Licensed Practical Nurse | 1538 Washington Ave Apt 1, Bronx, NY 10457-8334 | 2020-10-30 |
| 1518567437 | Catherine Grullon | Licensed Practical Nurse | 32 Crescent Ave, Newburgh, NY 12550-3134 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | PORT BYRON |
| Zip Code | 13140 |
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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.