MRS. AMANDA SUE CARLSON (NPI# 1215403258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215403258 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA SUE CARLSON |
| Other Name | AMANDA SUE MATHIS |
| Credential | CRNP |
| Practice Address |
2130 S 21st St Philadelphia PA 19145-3401 |
| Mailing Address |
16 Secretariat Cir Media PA 19063-5261 |
| Practice Telephone | 2159253566 |
| Mailing Telephone | 6167807354 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP018141 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460647 | Amanda Lyn Carlson | Registered Nurse | 3461 Cedar Dr, Park City, UT 84098-5499 | 2020-06-02 |
| 1295334969 | Amanda Ruth Carlson | Social Worker | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2020-10-22 |
| 1104436708 | Amanda Jean Carlson | Speech-Language Pathologist | 9737 Great Hills Trl Ste 120, Austin, TX 78759-6418 | 2020-08-07 |
| 1932744109 | Amanda Carlson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-11-12 |
| 1912540311 | Amanda Carlson | Social Worker | 1747 Heritage Ln Ste B101, Syracuse, UT 84075-8546 | 2019-10-18 |
| 1265940720 | Amanda Carlson | Speech-Language Pathologist | 2222 N Lincoln Ave, York, NE 68467-1030 | 2018-01-18 |
| 1689190613 | Amanda M Carlson | Social Worker | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2017-08-22 |
| 1801214028 | Amanda Carlson | Surgery | 5323 Harry Hines Blvd., Dallas, TX 75390 | 2014-04-03 |
| 1871937474 | Amanda Kristen Carlson | Family Medicine | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2013-04-25 |
| 1932494747 | Amanda Carlson | Rehabilitation Practitioner | 43520 Division St, Lancaster, CA 93535-4089 | 2011-06-09 |
| Street Address |
2130 S 21ST ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558317420 | Elise Robinson Pizzi | Nurse Practitioner | 2130 S 21st St, Philadelphia, PA 19145-3401 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
Please comment or provide details below to improve the information on MRS. AMANDA SUE CARLSON.
| 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.