AMANDA MADDEN (NPI# 1093349235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093349235 |
| Entity Type | Individual |
| Full Name | AMANDA MADDEN |
| Practice Address |
1541 Kings Hwy Shreveport LA 71103-4228 |
| Mailing Address |
1512 W Kirby Pl Shreveport LA 71103-3822 |
| Practice Telephone | 3182129440 |
| Mailing Telephone | 3186260287 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP07711 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952574519 | Amanda Madden | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-04-03 |
| Street Address |
1541 KINGS HWY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909912 | Brfhh Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2005-08-10 |
| 1851991947 | Gina Marie Kristiansen | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-28 |
| 1376142893 | Candice Crow | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-26 |
| 1518574441 | Jadebrey Vyshette Kennon | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-24 |
| 1629683230 | Amanda Renae Simmons | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1255945382 | Frank James List | Pharmacy Technician | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-05 |
| 1700496312 | Caroline Leigh Harris | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-07 |
| 1740899400 | Brittany Allyson Bozzell | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-07-29 |
| 1386253169 | Kristyn Turner | Pharmacist | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-07-28 |
| 1508481722 | Alexandra Blair Lemaire | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093087298 | Carmie Anita Beshea | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2012-02-02 |
| 1730466053 | Michelle Moore Haynie | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2011-11-15 |
| 1104142769 | Laura Christine Brooks | Nurse Practitioner | 1 Saint Mary Pl, Nicu, Shreveport, LA 71101-4343 | 2010-04-07 |
| 1154656494 | Paul Wesley Chism | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2009-10-05 |
| 1609923655 | Carol Rachal | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-01-04 |
| 1104847920 | Marcella Coleman Williams | Nurse Practitioner | 1501 Kings Hwy, Department of Pediatrics, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1013937994 | Barbara Lynn Bruner | Nurse Practitioner | 1501 Kings Hwy, Department of Pediatrics, Shreveport, LA 71103-4228 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427309400 | Jennifer Laviolette Vitellaro | Nurse Practitioner | 105 Fairfield Oaks Dr, Madisonville, LA 70447-9235 | 2012-10-01 |
| 1982961967 | Ashley L Bridges | Nurse Practitioner | 153 Ben Bridges Rd, Downsville, LA 71234-5439 | 2012-04-16 |
| 1366640666 | Kathlyn P Bell | Nurse Practitioner | 180 West Esplanade Ave, Kenner, LA 70065 | 2007-07-07 |
| 1134146921 | Sharon Wooten Sommerville | Nurse Practitioner | 1214 Quincy Dr, Bossier City, LA 71111-8197 | 2006-07-16 |
| 1194346916 | Lavonna Parham | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2020-05-04 |
| 1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
| 1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1558869925 | Shelley Maureen Clapp | Nurse Practitioner | 1401 Foucher St, Nicu, New Orleans, LA 70115 | 2018-01-31 |
| 1346755444 | Candace H Nichols | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2017-12-12 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.