MRS. AMANDA CARFAGNO (NPI# 1104311778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104311778 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA CARFAGNO |
| Credential | NP |
| Practice Address |
3100 Samford Ave Shreveport LA 71103-4239 |
| Mailing Address |
Po Box 8500, Lockbox 7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 3182263306 |
| Practice Fax Number | 3182263319 |
| Mailing Telephone | 8138218478 |
| Mailing Fax Number | 8132818113 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
9331214 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP09973 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3100 SAMFORD AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634133 | Emily Hummer Naus | Anesthesiology | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2006-01-25 |
| 1922596170 | Shriners Hospitals for Children | Anesthesiology | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2018-04-24 |
| 1912303330 | Pediatric Orthotic and Prosthetic Services-southeast, LLC | Prosthetic/Orthotic Supplier | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2014-11-12 |
| 1568803732 | Shriners Hospitals for Children | Orthopaedic Surgery | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2013-07-16 |
| 1962751495 | Linda Scoggins Beckermeyer | Nurse Practitioner | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2012-08-30 |
| 1356641799 | Shiela Eileen Sterling | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1285934620 | Shannon Marie Davis | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1386944718 | Deborah Banks | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1659671097 | Natalie Wooley Bomar | Occupational Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 1255631594 | Susan Saylors Bryant | Physical Therapist | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2010-11-02 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376092510 | Tanquenika Markray | Nurse Practitioner | 351 Hearne Ave, Shreveport, LA 71103-2019 | 2016-09-29 |
| 1619226727 | Micah Boyett Pilcher | Nurse Practitioner | 9220 Ellerbe Rd Ste 700, Shreveport, LA 71106-6709 | 2012-09-05 |
| 1568489342 | Margaret S Raish | Nurse Practitioner | 410 W. 70th Street, Linwood School Based Health Center, Shreveport, LA 71106 | 2006-07-16 |
| 1568015584 | Lori J Phillips | Nurse Practitioner | 909 Olive St, Shreveport, LA 71104-2103 | 2019-07-18 |
| 1447810973 | Ashley C Viviano | Nurse Practitioner | 1919 Fairfield Ave, Shreveport, LA 71101-4436 | 2019-06-17 |
| 1528583549 | Jennipher Lyn Smothers | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2017-08-10 |
| 1598137374 | Jamiee Brice | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-10-20 |
| 1336516533 | Holly Rivers | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-24 |
| 1639545692 | Angela Moyer | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-13 |
| 1831533553 | Jennifer Yvonne Treadwell | Nurse Practitioner | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2013-04-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on MRS. AMANDA CARFAGNO.
| 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.