MS. AMANDA KAY GRAHAM (NPI# 1174175285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174175285 |
| Entity Type | Individual |
| Full Name | MS. AMANDA KAY GRAHAM |
| Credential | APRN |
| Practice Address |
1222 S Orange Ave Orlando FL 32806-1215 |
| Practice Telephone | 3218417856 |
| Practice Fax Number | 3218436432 |
| Mailing Telephone | 3218417856 |
| Mailing Fax Number | 3218436432 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
9375941 | FL | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN11002696 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
11002696 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336657055 | Amanda Leigh Graham | Counselor | 1453 Big Hill Rd, Pennington Gap, VA 24277-8133 | 2018-01-16 |
| 1023036738 | Amanda J Graham | Counselor | 3622 Lyckan Pkwy Ste 4003, Durham, NC 27707-2566 | 2006-07-18 |
| 1568061448 | Amanda Lynn Graham | Licensed Practical Nurse | 500 Pegasus Ct, Winchester, VA 22602-4596 | 2020-10-21 |
| 1013536291 | Amanda Jean Graham | Behavior Technician | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2020-04-08 |
| 1407487523 | Amanda Graham | Social Worker | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2020-01-28 |
| 1023668605 | Amanda Lee Graham | Registered Nurse | 800 Prudential Dr, Jacksonville, FL 32207-8211 | 2019-09-16 |
| 1386293942 | Amanda Marie Graham | Physical Therapy Assistant | 9425 N Nevada St Ste 100, Spokane, WA 99218-1286 | 2019-09-06 |
| 1578112363 | Amanda Graham | Nurse Practitioner | 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 | 2019-09-05 |
| 1356877245 | Amanda Jean Graham | Counselor | 216 S Main St, Hobart, OK 73651-3628 | 2017-05-11 |
| 1588033997 | Amanda Graham | Social Worker | 30 Elizabeth St, Derby, CT 06418 | 2015-09-16 |
| Street Address |
1222 S ORANGE AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546986 | Steven J Hoff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2005-05-27 |
| 1639793623 | Mikayla Alexis Ruane | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2020-06-04 |
| 1699308536 | Bethany Kelley | Nurse Practitioner | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2020-02-19 |
| 1194364620 | Cody Albert Pigon | Nurse Practitioner | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2020-01-01 |
| 1528600442 | Jennie K Ayers | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-10-11 |
| 1376193458 | David Estalilla | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-09-19 |
| 1437709664 | Brannen Allen Davis | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-09-19 |
| 1386294098 | Heidi Lyn Seymour | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-09-14 |
| 1437703592 | Paige Salerno | Physician Assistant | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-07-27 |
| 1295396612 | Susilla Sarda Cory | Nurse Practitioner | 1222 S Orange Ave, Orlando, FL 32806-1215 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100828 | Dana Santiago | Nurse Practitioner | 3110 Lake Jean Dr, Orlando, FL 32817-2324 | 2020-07-06 |
| 1609496629 | Autumn Nicole Walker | Nurse Practitioner | 2811 Ripton Ct, Orlando, FL 32835-6147 | 2020-04-20 |
| 1366913121 | Heather Freeman | Nurse Practitioner | 1400 S Orange Ave # Mp700, Orlando, FL 32806-2134 | 2018-12-05 |
| 1114403631 | Millian Okafor | Nurse Practitioner | 14918 Faberge Dr, Orlando, FL 32828-5118 | 2018-07-17 |
| 1134663933 | Marian Coppo Chase | Nurse Practitioner | 801 Vassar St, Orlando, FL 32804-4922 | 2016-12-13 |
| 1306291372 | Carlos Ivan Sanchez | Nurse Practitioner | 8012 Prestbury Dr, Orlando, FL 32832-6306 | 2016-04-27 |
| 1467831040 | Mary Philip | Nurse Practitioner | 13203 Chattanooga Ln, Orlando, FL 32837-4005 | 2015-05-28 |
| 1114325529 | Lola M Ortega | Nurse Practitioner | 1115 East Ridgewood Street, Orlando, FL 32803-6947 | 2014-12-17 |
| 1689090276 | Amina Hussain Ali | Nurse Practitioner | 6983 Brescia Way, Orlando, FL 32819-5269 | 2014-03-06 |
| 1447690870 | Rebecca Lee Ritz | Nurse Practitioner | 2111 Crosshair Cir, Orlando, FL 32837-7408 | 2013-06-30 |
| Find all providers in ORLANDO | ||||
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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.