AMANDA NICOLE HALL (NPI# 1134598881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134598881 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE HALL |
| Other Name | AMANDA NICOLE STIDHAM |
| Credential | CRNA |
| Practice Address |
1108 Ross Clark Circle Dothan AL 36301-2911 |
| Practice Telephone | 3347938111 |
| Mailing Telephone | 3347938111 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 802889 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771678 | Amanda Hall | Nurse Practitioner | 1210 Kingsley Ave, Orange Park, FL 32073-4616 | 2017-10-16 |
| 1073023420 | Amanda Joy Hall | Nurse Practitioner | 901 N Pacific Coast Hwy Ste 101, Redondo Beach, CA 90277-2162 | 2017-10-11 |
| 1073979407 | Amanda Hall | Massage Therapist | 15907 Se Brooklyn St, Portland, OR 97236-2048 | 2016-01-14 |
| 1659742997 | Amanda Hall | Counselor | 9545 Clearview Dr, Broken Arrow, OK 74014-3269 | 2015-10-13 |
| 1205214210 | Amanda Hall | Social Worker | 1031 S Griffin Rd, Atoka, OK 74525-8403 | 2015-05-11 |
| 1841680535 | Amanda Hall | Occupational Therapist | 1575 N Lockwood Ridge Rd, Sarasota, FL 34237-3218 | 2015-02-02 |
| 1215379177 | Amanda L Hall | Pharmacist | 1080 Nw Santa Fe Blvd, High Springs, FL 32643-8404 | 2013-07-20 |
| 1659714079 | Amanda Hall | Speech-Language Pathologist | 2329 Myers Ln, Logansport, IN 46947-1038 | 2013-04-16 |
| 1699012591 | Amanda Hall | Nurse Practitioner | 360 Universal Dr N, North Haven, CT 06473-3163 | 2013-01-11 |
| 1174875520 | Amanda Marie Hall | Physical Therapy Assistant | 7710 Olentangy River Rd, Columbus, OH 43235-1353 | 2012-10-10 |
| Street Address |
1108 ROSS CLARK CIRCLE |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403861 | Houston County Healthcare Authority | General Acute Care Hospital | 1108 Ross Clark Circle, Dothan, AL 36301-3022 | 2005-11-09 |
| 1689093692 | Arash Velayati | Internal Medicine | 1108 Ross Clark Circle, Dothan, AL 36301-3088 | 2014-04-08 |
| 1295990810 | Deborah Anne Barron | Social Worker | 1108 Ross Clark Circle, Southeast Alabama Medical Center, Dothan, AL 36301 | 2008-07-23 |
| 1790719318 | Jarrod B. Adkison | Specialist | 1108 Ross Clark Circle, Southeast Alabama Medical Center, Radiation Oncology, Dothan, AL 36301-3022 | 2006-07-10 |
| 1992784714 | Puli Gopal Reddy | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-11 |
| 1164401980 | Paul W Johnson | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-11 |
| 1912986886 | Vernon L Pruitt | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| 1548249410 | Jeffrey Scott Plagenhoef | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| 1487633368 | Ralph B Fillmore | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| 1326027202 | David E Perkins | Anesthesiology | 1108 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073663589 | William G Smith Jr. | Nurse Anesthetist, Certified Registered | 103 Nottoway Blvd, Dothan, AL 36303-2979 | 2007-01-10 |
| 1720026891 | Linda S. Brock | Nurse Anesthetist, Certified Registered | 36 Hampton Way, Dothan, AL 36305-6319 | 2006-06-02 |
| 1801875620 | James A Kennedy | Nurse Anesthetist, Certified Registered | 2802 Ross Clark Circle, Dothan, AL 36301 | 2006-01-11 |
| 1861471732 | Alice M Hickey | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Circle, Dothan, AL 36301 | 2006-01-10 |
| 1871114090 | Hillary Ryan Mclemore | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-4000 | 2020-04-28 |
| 1659990901 | Robert Dale Garrett | Nurse Anesthetist, Certified Registered | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2020-04-15 |
| 1972076859 | Tillman Hall | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2019-01-03 |
| 1023525169 | Michael Aaron Allen | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2018-01-09 |
| 1508373143 | Derek Austin Dean | Nurse Anesthetist, Certified Registered | 4370 W Main St, Dothan, AL 36305-1056 | 2018-01-04 |
| 1790201903 | Gut PC | Nurse Anesthetist, Certified Registered | 1450 Ross Clark Cir Ste 400, Dothan, AL 36301-4770 | 2017-08-18 |
| Find all providers in DOTHAN | ||||
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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.