AMANDA NICOLE TAYLOR (NPI# 1134784580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134784580 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE TAYLOR |
| Credential | PA-C |
| Practice Address |
2828 E Barnett Rd Medford OR 97504-8342 |
| Mailing Address |
2730 Sw Moody Ave Portland OR 97201-5042 |
| Practice Telephone | 5417745853 |
| Mailing Telephone | 5038050793 |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA201837 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935633 | Amanda Lynn Taylor | Massage Therapist | 529 W Fullerton Pkwy Apt 20, Chicago, IL 60614-5924 | 2020-09-02 |
| 1528629227 | Amanda Nicole Taylor | Physician Assistant | 5751 Edwards Ranch Rd Ste 200, Fort Worth, TX 76109-4120 | 2019-06-24 |
| 1750940938 | Amanda Elizabeth Taylor | Counselor | 5686 Agua Fria St # B, Santa Fe, NM 87507-9001 | 2019-06-11 |
| 1780080259 | Amanda Ann Taylor | Developmental Therapist | 5603 Arvis Dr, Louisville, KY 40216-1307 | 2014-11-11 |
| 1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
| 1992133458 | Amanda Bates Taylor | Social Worker | 143 Ridgeway Dr Ste 111, Lafayette, LA 70503-3495 | 2013-10-21 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1558605063 | Amanda Marie Taylor | Occupational Therapist | 11716 Delavan Ave, Kansas City, KS 66109-4805 | 2012-11-21 |
| 1245593433 | Amanda C Taylor | Psychologist | 5000 S 5th Ave # 116b, Hines, IL 60141-3030 | 2012-06-21 |
| 1881902526 | Amanda L Taylor | Licensed Practical Nurse | 2399 Roush Hill Rd., Manchester, OH 45144-9130 | 2010-09-15 |
| Street Address |
2828 E BARNETT RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962469585 | Alison Diana Savage | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2006-04-27 |
| 1508421751 | Ethan Pace | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2019-05-02 |
| 1518496090 | Hematology Oncology Pharmacy | Pharmacy | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2017-06-08 |
| 1124578802 | Mariah Mcgaffey | Physician Assistant | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2016-10-06 |
| 1689124547 | Esther Hehn | Nurse Practitioner | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2016-10-04 |
| 1679944870 | Dawn Sipes | Nurse Practitioner | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2015-10-13 |
| 1043691728 | Matthew Filoon | Nurse Practitioner | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2015-06-17 |
| 1548651029 | Aimee Marie Goseland | Registered Nurse | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2015-02-05 |
| 1376959494 | Sara Matar | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2014-07-09 |
| 1508271701 | Emre Koca | Internal Medicine | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2014-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932346095 | Elena Tovkan Forster | Physician Assistant | 2924 Siskiyou Blvd Ste 200, Medford, OR 97504 | 2009-01-12 |
| 1245416544 | Alanna R Dixon | Physician Assistant | 1698 E. Mcandrews Rd, Suite 400, Medford, OR 97504-5590 | 2008-01-16 |
| 1295398766 | Lindsey R Robinson | Physician Assistant | 19 Myrtle St, Medford, OR 97504-7337 | 2019-04-19 |
| 1396226247 | Mason Scott Hoying | Physician Assistant | 1698 E Mcandrews Rd Ste 400, Medford, OR 97504-5590 | 2018-08-28 |
| 1720598287 | Ryan Mcdaniel | Physician Assistant | 2780 E Barnett Rd, Medford, OR 97504-8674 | 2017-10-10 |
| 1861946931 | Erica Florence Smith | Physician Assistant | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2016-08-06 |
| 1578933123 | Fred Garnica | Physician Assistant | 503 Airport Rd Ste 101, Medford, OR 97504-4159 | 2015-09-25 |
| 1003297581 | Gregory Lee Werner | Physician Assistant | 143 S Gibson St, Medford, WI 54451-1622 | 2015-06-10 |
| 1780087502 | Dillon Smith | Physician Assistant | 2780 E Barnett Rd Ste 200, Medford, OR 97504 | 2014-10-07 |
| 1861802944 | Landon Masterfield | Physician Assistant | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2014-04-29 |
| Find all providers in MEDFORD | ||||
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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.