AMANDA MICHELLE ROSS (NPI# 1083116198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083116198 |
| Entity Type | Individual |
| Full Name | AMANDA MICHELLE ROSS |
| Credential | FNP-C |
| Practice Address |
3725 Mall Ln Texarkana TX 75501-2658 |
| Practice Telephone | 9033060001 |
| Practice Fax Number | 8662325707 |
| Mailing Telephone | 9033060001 |
| Mailing Fax Number | 8662325707 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP136674 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
| 1407227143 | Amanda Ross | Counselor | 4230 Park Newport Apt 202, Newport Beach, CA 92660-6068 | 2015-10-07 |
| 1942601505 | Amanda Catherine Ross | Counselor | 1970 Larkwood Dr, Apopka, FL 32703-1542 | 2014-09-12 |
| 1053933093 | Amanda M Ross | Counselor | 11000 Lake City Way Ne, Seattle, WA 98125-6748 | 2020-05-13 |
| 1366071581 | Amanda Rae Ross | Occupational Therapist | 222 New Road, Suite 101, Linwood, NJ 08221 | 2020-04-08 |
| 1013419373 | Amanda Ross | Behavior Technician | 3731 6th Ave Ste 100, San Diego, CA 92103-4383 | 2018-03-02 |
| 1912439654 | Amanda Renee Ross | Emergency Medicine | 1 Kish Hospital Dr, Dekalb, IL 60115-9602 | 2017-03-31 |
| 1336698158 | Amanda Ross | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Northstar Anesthesia, Massillon, OH 44646-8503 | 2016-09-22 |
| 1619342243 | Amanda Ross | Nurse Practitioner | 49 Lawrence Ave, Potsdam, NY 13676-1889 | 2015-12-08 |
| 1366832115 | Amanda Kathryn Ross | Physician Assistant | 7841 Amana Trl, Inver Grove Heights, MN 55077-2609 | 2015-02-02 |
| Street Address |
3725 MALL LN |
| City | TEXARKANA |
| State | TX |
| Zip Code | 75501-2658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227951 | Shayla Lasonde Williams | Licensed Vocational Nurse | 409 Tracey Ave, Wake Village, TX 75501 | 2019-04-04 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1104363258 | Brent Willis | Nurse Anesthetist, Certified Registered | 203 La Grange Dr., Texarkana, TX 75501 | 2017-01-27 |
| 1154627644 | Patricia Maree Baker | Counselor | 1001 Texas Blvd., Suite 106, Texarkana, TX 75501 | 2011-02-01 |
| 1730323452 | William Leonard | Occupational Therapy Assistant | 2108 5th Street, Bridgeport, TX 75501 | 2009-04-24 |
| 1700071552 | Roger House Md, Psychiatric Services | Case Management | 2401 Summerhill Rd., Suite A, Texarkana, TX 75501 | 2007-09-13 |
| 1134248271 | Brent Bultemeier Pa | Chiropractor | 3207 New Boston Road, Texarkana, TX 75501 | 2007-03-28 |
| 1346395977 | Sharon E. Moore | Registered Nurse | Youree Drive, Shreveport, LA 75501 | 2007-01-24 |
| 1962553024 | Leary Independent School District | Local Education Agency (LEA) | 9500 W. New Boston Rd, Texarkana, TX 75501 | 2007-01-16 |
| 1780787390 | Christina Michelle Griffin | Physical Therapist | 1315 Walnut, Temple Memorial Rehabiliation Ctr, Texarkana, TX 75501 | 2006-09-07 |
| Find all providers in zip 75501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870892 | Melissa Michelle Wilson | Nurse Practitioner | 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 | 2020-08-02 |
| 1558919365 | Angela Michelle Savell | Nurse Practitioner | 4192 Satterfield Ln, Texarkana, AR 71854-0552 | 2019-08-27 |
| 1770041691 | Genova L Hansen | Nurse Practitioner | 95 Dyke Thomas Rd, Texarkana, TX 75501-2104 | 2019-03-10 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1730678483 | Julie Sloan Henderson | Nurse Practitioner | 876 Cummings Ln, Texarkana, TX 75501-2194 | 2018-05-08 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1326555616 | Mandilyn Kay Cottingham | Nurse Practitioner | 391 Private Road 1223, Texarkana, AR 71854-1459 | 2018-01-08 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1003331356 | Virginia Ann Parker | Nurse Practitioner | 1004 Ele St, Texarkana, TX 75501-3018 | 2017-08-08 |
| 1669848156 | Wendy Wynette Gammon | Nurse Practitioner | 3809 E 9th St Ste 15, Texarkana, AR 71854-5818 | 2015-08-19 |
| Find all providers in TEXARKANA | ||||
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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.