MRS. AMANDA ELIZABETH BRUNK (NPI# 1164894580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164894580 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA ELIZABETH BRUNK |
| Credential | LPN |
| Practice Address |
4 W Dayton Yellow Springs Rd Fairborn OH 45324-3435 |
| Practice Telephone | 9378788668 |
| Mailing Telephone | 9378788668 |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2015-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.146639-M-IV | OH | Nursing Service Providers |
| Street Address |
4 W DAYTON YELLOW SPRINGS RD |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-3435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245406412 | Sandra M Winter | Speech-Language Pathologist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2008-05-07 |
| 1669025862 | Brittany Holland | Speech-Language Pathologist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2019-07-17 |
| 1245758291 | Hayley Kristin Woodward | Speech-Language Pathologist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2017-08-30 |
| 1023552569 | Ellen Benson | Speech-Language Pathologist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2016-12-16 |
| 1649673617 | Julie Burke | Speech-Language Pathologist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2014-10-03 |
| 1922401090 | Bonnie Lee Walker | Licensed Practical Nurse | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2014-10-03 |
| 1790188860 | Molly Mclean Vanmeter | Speech-Language Pathologist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2014-10-03 |
| 1619370699 | Kathy Sabatine | Speech-Language Pathologist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2014-10-03 |
| 1376946442 | Irene Earl | Registered Nurse | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2014-10-03 |
| 1942612676 | Christa Mccomas | Occupational Therapist | 4 W Dayton Yellow Springs Rd, Fairborn, OH 45324-3435 | 2014-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871976969 | Amanda Jean Odon | Licensed Practical Nurse | 302 Orville St, Fairborn, OH 45324-2904 | 2015-07-07 |
| 1891188181 | Jennifer Diamond | Licensed Practical Nurse | 38 Diana Ln W, Fairborn, OH 45324-4206 | 2015-03-10 |
| 1609281344 | Barbara Lujan | Licensed Practical Nurse | 5505 Haddix Rd, Fairborn, OH 45324-9741 | 2014-06-20 |
| 1962849356 | Melissa A Dimichele | Licensed Practical Nurse | 713 Cedar Dr, Apt 16, Fairborn, OH 45324-4897 | 2013-05-27 |
| 1013280148 | Tiffany Marie Becker | Licensed Practical Nurse | 2379 Gerard Ct, Fairborn, OH 45324-2296 | 2012-02-21 |
| 1467747899 | Amy Lee Mccoy | Licensed Practical Nurse | 176 Locust Dr, Fairborn, OH 45324-3513 | 2011-06-14 |
| 1619266046 | Emily R Smith | Licensed Practical Nurse | 208 E Emerson Ave, Fairborn, OH 45324-5303 | 2011-04-06 |
| 1205066255 | Diana Lyn Owens | Licensed Practical Nurse | 381 Cherrywood Dr, Fairborn, OH 45324-4012 | 2009-07-23 |
| 1235374901 | Latrice Kenyetta Wesley | Licensed Practical Nurse | 906 N Maple Ave, Fairborn, OH 45324-5454 | 2008-12-10 |
| 1851579387 | Stacy L Johnson | Licensed Practical Nurse | 326 Shade Dr, Fairborn, OH 45324-4239 | 2008-02-06 |
| Find all providers in FAIRBORN | ||||
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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.