AMANDA LYNN MAYNARD (NPI# 1114279635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114279635 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN MAYNARD |
| Credential | FNP-BC |
| Practice Address |
428 E Main St Inez KY 41224-8931 |
| Mailing Address |
Po Box 1269 Inez KY 41224-1269 |
| Practice Telephone | 6062982660 |
| Mailing Telephone | 6065347500 |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
63087 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007639 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457829475 | Amanda Maynard | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2018-11-07 |
| 1952712317 | Amanda Maynard | Developmental Therapist | 33 Turnpike Rd, Southborough, MA 01772-2108 | 2014-05-19 |
| 1518388735 | Amanda Mischelle Maynard | Counselor | 2409 Homer Clayton Dr, Guntersville, AL 35976-2207 | 2013-12-16 |
| 1295166932 | Amanda Maynard | Physical Therapist | 1155 Atwater Ave, Circleville, OH 43113-1301 | 2013-12-05 |
| 1487902896 | Amanda Maynard | Psychologist | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2012-08-16 |
| 1902181027 | Amanda R Maynard | Pharmacist | 808 S Duluth Ave, Sturgeon Bay, WI 54235-3807 | 2011-10-20 |
| 1457559171 | Amanda Diane Maynard | Internal Medicine | 500 E Main St, Suite 100, Columbus, OH 43215-5369 | 2007-07-03 |
| Street Address |
428 E MAIN ST |
| City | INEZ |
| State | KY |
| Zip Code | 41224-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740343896 | Melissa Carol Fletcher | Family Medicine | 428 E Main St, Inez, KY 41224-8931 | 2006-12-19 |
| 1285244244 | Mountain Comprehensive Care Center, Inc. | Clinic/Center | 428 E Main St, Inez, KY 41224-8931 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264990 | Paul G Ward | Technician | 350 Cassady Ave., Inez, KY 41224 | 2020-08-10 |
| 1962954529 | Martin Manor Operations, LLC | Skilled Nursing Facility | 62 Maude Rd., Inez, KY 41224 | 2016-10-31 |
| 1801262381 | Tricia Slone | Physical Therapist | 62 Maude Rd, Inez, KY 41224 | 2015-08-19 |
| 1063809796 | Melisa Ann Bell | Occupational Therapist | 62 Maude Road, Inez, KY 41224 | 2015-04-21 |
| 1376937706 | Vesta M. Esham | Physical Therapy Assistant | 65 Otto Drive, Inez, KY 41224 | 2015-03-24 |
| 1912342973 | Donald Ray Setser | Counselor | 2596 Rockcastle Rd., Appalachia Reach-out, Inez, KY 41224 | 2013-05-05 |
| 1861769614 | Kerry Wheeler | Counselor | 6500 Hwy 645, Inez, KY 41224 | 2011-11-22 |
| 1780977389 | Tasha M Russell | Pediatrics | 64 Kirk Plz, Inez, KY 41224 | 2011-05-16 |
| 1003105669 | Jennifer M Marcum | Pharmacist | 120 Cresley Branch Road, Ulysses, KY 41224 | 2011-04-05 |
| 1396050563 | Ginger Scott | Counselor | Old Rt 3 Rock Castle Road, Inez, KY 41224 | 2010-08-12 |
| Find all providers in zip 41224 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376026542 | Lisa Dawn Blackburn | Nurse Practitioner | 2160 Blacklog Rd, Inez, KY 41224-9019 | 2018-09-12 |
| 1417471103 | Brandy Compton Preston | Nurse Practitioner | 94 Boardwalk, Inez, KY 41224-7003 | 2017-08-03 |
| 1841739125 | Callie Jo Jervis | Nurse Practitioner | 64 Kirk Plz, Inez, KY 41224-6501 | 2017-02-19 |
| 1063883932 | Teresa J Back | Nurse Practitioner | 64 Kirk Plz, Inez, KY 41224-6501 | 2015-10-16 |
| 1174992382 | Melissa Dalton Wagner | Nurse Practitioner | 64 Kirk Plz, Inez, KY 41224 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518661 | Kimberly Sue Moore | Nurse Practitioner | 1196 Sardis Rd, Mount Olivet, KY 41064-7580 | 2020-11-02 |
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1053911065 | Ashley Renee Smith | Nurse Practitioner | 8367 Stonelick Rd, Maysville, KY 41056-9432 | 2020-10-28 |
| 1629677117 | Shelby A Rollings | Nurse Practitioner | 100 Clint Hill Blvd, Paducah, KY 42001-6771 | 2020-10-26 |
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1710586466 | Jamie Rae Ratcliff | Nurse Practitioner | 141 Ky Route 1428, Prestonsburg, KY 41653-1506 | 2020-10-23 |
| 1518566371 | Kelly Rae Smith | Nurse Practitioner | 13402 Creekview Rd, Prospect, KY 40059-9028 | 2020-10-22 |
| 1952900870 | Sarah Elizabeth Clark | Nurse Practitioner | 1309 Morning Side Ct, Lexington, KY 40509-2353 | 2020-10-21 |
| 1942809033 | Lauren Elizabeth Tobler | Nurse Practitioner | 32 Burdsall Ave, Fort Mitchell, KY 41017-2802 | 2020-10-20 |
| 1629677745 | Lisa Elaine Coleman | Nurse Practitioner | 2241 Gulfstream Dr, Lexington, KY 40504-3273 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMANDA LYNN MAYNARD.
| 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.