AMANDA M HEDGES (NPI# 1215265236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215265236 |
| Entity Type | Individual |
| Full Name | AMANDA M HEDGES |
| Other Name | AMANDA M BABYAK |
| Credential | M MSN CPN |
| Practice Address |
2423 Williams Dr Ste 103 Georgetown TX 78628-3200 |
| Mailing Address |
205 E University Ave Ste 200 Georgetown TX 78626-6821 |
| Practice Telephone | 8778005722 |
| Practice Fax Number | 5129307400 |
| Mailing Telephone | 5128681124 |
| Mailing Fax Number | 5128689894 |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP112440 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2134280-01 | 05 | |
| TX | STATE BOARD OF NURSING LICNESE_REGISTERED NURSE | 640141 | 01 |
| TX | STATE BOARD OF NURSING LICENSE_PEDIATRIC NURSE PRACTITIONER | AP112440 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528462215 | Amanda Hedges | Physical Therapist | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2014-10-09 |
| 1043561491 | Amanda Michele Hedges | Rehabilitation Practitioner | 2820 W Charleston Blvd, #c23, Las Vegas, NV 89102-1942 | 2012-09-25 |
| 1154588226 | Amanda M Hedges | Pediatrics | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2008-05-16 |
| Street Address |
2423 WILLIAMS DR STE 103 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78628-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700110301 | Menaka Mahadevan | Pediatrics | 2423 Williams Dr Ste 103, Georgetown, TX 78628-3200 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164079760 | Maegan Marissa Milliet | Student in an Organized Health Care Education/Training Program | 302 Rideg Run Dr, Georgetown, TX 78628 | 2019-08-20 |
| 1366918419 | Harold F. Adelman, M.d, Pllc | Clinic/Center | 3008 Dawn Drive, Suite #103, Georgetown, TX 78628 | 2018-10-16 |
| 1679085401 | Georgetown Emergency Physicians Pllc | Clinic/Center | 1210 W University Blvd, Georgetown, TX 78628 | 2017-11-02 |
| 1134631450 | Meredith Rollins Hatcher | Physician Assistant | 204 S Interstate I-35, Suite 103, Georgetown, TX 78628 | 2017-10-26 |
| 1588188304 | Wolf Ranch Dental Group, PC | Dentist | 1135 West University Avenue, Georgetown, TX 78628 | 2017-08-02 |
| 1982066528 | Imren Ozturk | Family Medicine | Arc Georgetown, 940 W University Ave Suite 101, Georgetown, TX 78628 | 2016-03-23 |
| 1093114100 | Della Davis | Hearing Instrument Specialist | 1013 W. University Ave, Suite 122, Georgetown, TX 78628 | 2014-08-14 |
| 1083988125 | Deann Reinshuttle | Audiologist-Hearing Aid Fitter | 3316 Williams Dr Ste 115, Georgetown, TX 78628 | 2012-03-07 |
| 1700195823 | Zeyad B Mughrabi | Dentist | 1615 Williams Dr, Georgetown, TX 78628 | 2010-10-07 |
| 1497071534 | Jeri Lynne Manhal | Counselor | 1618 Williams Dr., Suite 4, Georgetown, TX 78628 | 2010-04-14 |
| Find all providers in zip 78628 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1699067504 | Eliamar Herrera | Nurse Practitioner | 517 Tamara Dr, Georgetown, TX 78628-8828 | 2011-05-10 |
| 1588846166 | Linda Joyce Petrusick | Nurse Practitioner | 57 Jessamine Street, Georgetown, SC 29442 | 2007-12-05 |
| 1831710458 | Christine Maire Black | Nurse Practitioner | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2020-05-05 |
| 1366905655 | Emily Kate Jenkins | Nurse Practitioner | 435 Marina Dr, Georgetown, SC 29440-2410 | 2019-04-12 |
| 1528526928 | Raquel Limon | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2019-03-05 |
| 1790255891 | Miranda Afsharirad | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2018-11-30 |
| 1508332073 | Raquel Goytia | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2018-10-22 |
| 1912382052 | Anna Newell | Nurse Practitioner | 57 Jessamine Ave, Georgetown, SC 29440-5837 | 2015-07-29 |
| 1295138998 | Emilye Kathryn Eggeling | Nurse Practitioner | 600 High Tech Dr, Georgetown, TX 78626-8185 | 2014-10-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78628 |
Please comment or provide details below to improve the information on AMANDA M HEDGES.
| 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.