MRS. AMANDA ROBERTS (NPI# 1154961100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154961100 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA ROBERTS |
| Credential | QOM |
| Practice Address |
113 County Line Rd Tyner NC 27980-9690 |
| Practice Telephone | 2525062522 |
| Mailing Telephone | 2525062522 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1033699756 | Amanda Cloressa Roberts | Marriage & Family Therapist | 4712 Carriage Dr, Pittsburgh, PA 15236-1957 | 2018-08-21 |
| 1851704159 | Amanda Roberts | Counselor | 110 S. Commerce Ave, Russellville, AR 72801-5939 | 2014-06-04 |
| 1639239981 | Amanda M Roberts | Registered Nurse | 2310 Waltham Rd, Madison, WI 53711-3972 | 2006-12-09 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1881212223 | Amanda Roberts | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2020-07-13 |
| 1093363715 | Amanda Roberts | Behavior Technician | 8620 Refuge Point Cir, North Charleston, SC 29420-6879 | 2019-08-27 |
| 1982181079 | Amanda Roberts | Pharmacist | 500 Gallery Blvd, Scarborough, ME 04074-6606 | 2018-07-23 |
| 1821583873 | Amanda Leigh Roberts | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2018-06-22 |
| 1790278091 | Amanda Roberts | Social Worker | 1441 Constitution Blvd, Bldg 400, Suite 202, Salinas, CA 93906 | 2018-06-11 |
| Street Address |
113 COUNTY LINE RD |
| City | TYNER |
| State | NC |
| Zip Code | 27980-9690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992833321 | J. Lee C. Healthcare, Inc. | Custodial Care Facility | 401 Dillard's Mill Rd, Tyner, NC 27980 | 2007-02-28 |
| 1598202871 | Gateway Community Health Centers, Inc | Pharmacy | 2869 Virginia Rd, Tyner, NC 27980 | 2017-01-25 |
| 1689214157 | Casey Dail | Nurse Practitioner | 145 Hunters Fork Rd, Tyner, NC 27980-9416 | 2020-01-13 |
| 1134357908 | Kinsey Bass Ward | Speech-Language Pathologist | 147 Meadow Rd, Tyner, NC 27980-9600 | 2009-06-30 |
| 1194714840 | Francis L. Touron | Nurse Anesthetist, Certified Registered | 904 Dillards Mill Rd, Tyner, NC 27980-9615 | 2005-10-17 |
| 1477860138 | Anne H Ziemba | Early Intervention Provider Agency | 322 Dillards Mill Rd, Tyner, NC 27980-9636 | 2010-09-01 |
| 1114528650 | Grace Progressions | Early Intervention Provider Agency | 916 Happy Home Rd, Tyner, NC 27980-9659 | 2020-11-02 |
| 1467001669 | Jeanette Manley | Technician | 214 Yellow Hammer Rd, Tyner, NC 27980-9662 | 2019-09-10 |
| 1417271339 | Talk To Me Speech and Language Services, Pllc | Speech-Language Pathologist | 516 Center Hill Rd, Tyner, NC 27980-9771 | 2010-03-22 |
| 1679853642 | Gateway Community Health Centers, Inc. | Nurse Practitioner | 2869 Virginia Rd, Tyner, NC 27980-9777 | 2011-08-23 |
| Find all providers in zip 27980 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829904 | Darrell Martin | Specialist/Technologist, Other | 209 Hollow Ln, Mt Holly, NC 28120-9652 | 2020-10-22 |
| 1841849031 | Brandon Jacoby Everett | Specialist/Technologist, Other | 610 N Fayetteville St Ste 302, Asheboro, NC 27203-4671 | 2019-09-10 |
| 1598204240 | Lorette Robinson | Specialist/Technologist, Other | 17925 Halton Park Dr, 1e, Charlotte, NC 28262-6014 | 2017-02-14 |
| 1902343007 | Tracey Hampton | Specialist/Technologist, Other | 402 Saturn St, Dunn, NC 28334-2704 | 2017-01-26 |
| 1598142440 | Phillip Gary Horton Sr. | Specialist/Technologist, Other | 12152 Moonshadow Ln, Huntersville, NC 28078-6858 | 2015-04-29 |
| 1174914436 | Robyn Barton | Specialist/Technologist, Other | 10616 Metromont Pkwy Ste 106, Charlotte, NC 28269 | 2015-02-09 |
| 1821413519 | Kristen Lyn Mostrom | Specialist/Technologist, Other | 2500 Warren Carroll Dr Box 8502, Raleigh, NC 27695-0001 | 2014-03-04 |
| 1568891364 | Cape Fear Imaging, LLC | Specialist/Technologist, Other | 6361 Ocean Hwy E, Winnabow, NC 28479-5758 | 2013-11-02 |
| 1104128586 | Frank James Anderson | Specialist/Technologist, Other | 2126 Rolling Ridge Dr, Midway Park, NC 28544-1622 | 2010-11-17 |
| 1740481209 | Joan Beasley | Specialist/Technologist, Other | 219 Clover Creek Rd, Franklin, NC 28734-6382 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
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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.