AMANDA LOUDENBURG (NPI# 1134747512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134747512 |
| Entity Type | Individual |
| Full Name | AMANDA LOUDENBURG |
| Credential | NP |
| Practice Address |
5524 Assembly Ct Sacramento CA 95823-2625 |
| Mailing Address |
317 Missouri Way Travis Afb CA 94535-1200 |
| Practice Telephone | 7072609058 |
| Mailing Telephone | 7072609058 |
| Enumeration Date | 2020-07-11 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014773 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5524 ASSEMBLY CT |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467567834 | Ira Thomas Joyner Jr. | Obstetrics & Gynecology | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2006-08-19 |
| 1184232647 | Marie Malee Ceballos | Registered Nurse | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2020-07-21 |
| 1891225843 | Henry David Sanchez | Nurse Practitioner | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2017-06-13 |
| 1346606043 | Eleanor Quizeo | Nurse Practitioner | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2016-01-11 |
| 1386065530 | Xiamy Ly-yang | Social Worker | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2013-12-13 |
| 1487075636 | Kao Vang | Social Worker | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2013-12-13 |
| 1528349420 | Lue Yang | Physician Assistant | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2011-09-06 |
| 1336444702 | Dariush H Tonkaboni M D Inc | Obstetrics & Gynecology | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2011-01-17 |
| 1295044832 | Health and Life Organization, Inc. | Clinic/Center | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2010-09-30 |
| 1699082867 | Health and Life Orgaization, Inc. (h.a.l.o.) | Clinic/Center | 5524 Assembly Ct, Sacramento, CA 95823-2625 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633500 | Mary Cobleigh Banfield | Nurse Practitioner | 1009 1/2 T St, Sacramento, CA 95811-6560 | 2020-06-10 |
| 1952926438 | Perla Zuliana Aguayo Vazquez | Nurse Practitioner | 3520 El Ricon Way, Sacramento, CA 95864-2915 | 2020-06-10 |
| 1043834302 | Lacey Elizabeth Watson | Nurse Practitioner | 3710 J St Ste 201, Sacramento, CA 95816-5519 | 2020-06-02 |
| 1467081513 | Meeri Kim | Nurse Practitioner | 2425 Alhambra Blvd Ste 250, Sacramento, CA 95817-1110 | 2020-04-01 |
| 1134763238 | Mary Dicou | Nurse Practitioner | 1747 N Market Blvd, Sacramento, CA 95834-2978 | 2019-10-31 |
| 1265099030 | Christopher Adam Phillips | Nurse Practitioner | 2801 Unity Pointe Ave, Sacramento, CA 95833-3772 | 2019-05-28 |
| 1669942538 | Inna Dariychuk | Nurse Practitioner | 500 Howe Avenue, Suite 100, Sacramento, CA 95825 | 2018-12-04 |
| 1376033746 | Jenna Pettus | Nurse Practitioner | 711 14th St, Apt 11, Sacramento, CA 95814 | 2018-05-11 |
| 1770091621 | Rane Nathan Beal | Nurse Practitioner | 209 29th St Ste B, Sacramento, CA 95816-3271 | 2018-01-12 |
| 1730698846 | Olivia Rapozo | Nurse Practitioner | 4860 Y St # 3400, Sacramento, CA 95817-2307 | 2017-09-21 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on AMANDA LOUDENBURG.
| 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.