MS. AMANDA J BALTIERRA (NPI# 1215996962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215996962 |
| Entity Type | Individual |
| Full Name | MS. AMANDA J BALTIERRA |
| Credential | FNP-BC |
| Practice Address |
180 Grafton Ln Berryville VA 22611-2576 |
| Mailing Address |
Po Box 112 180 Grafton Lane Berryville VA 22611-0112 |
| Practice Telephone | 5409552400 |
| Practice Fax Number | 5409559765 |
| Mailing Telephone | 5409552400 |
| Mailing Fax Number | 5409559765 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2013-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024167997 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001726 | 05 |
| Street Address |
180 GRAFTON LN |
| City | BERRYVILLE |
| State | VA |
| Zip Code | 22611-2576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053388181 | Julie E. Lewerenz | Psychiatry & Neurology | 180 Grafton Ln, Berryville, VA 22611-2576 | 2006-03-07 |
| 1801452214 | Chloe Sorensen | Behavioral Analyst | 180 Grafton Ln, Berryville, VA 22611-2576 | 2019-05-13 |
| 1841787199 | Joseph Michael Lins | Behavioral Analyst | 180 Grafton Ln, Berryville, VA 22611-2576 | 2018-04-21 |
| 1992292494 | Elizabeth Staubs | Behavioral Analyst | 180 Grafton Ln, Berryville, VA 22611-2576 | 2018-04-19 |
| 1932628849 | Mendy Beth Adams | Occupational Therapist | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-09-12 |
| 1437670627 | Kelly Dawn Williamson | Nurse's Aide | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-06-28 |
| 1902327125 | Olivia Michelle Renzy | Nurse's Aide | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-06-28 |
| 1598286882 | Angela Renee Bell | Licensed Practical Nurse | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-06-28 |
| 1972023380 | Angela Nicole Legg | Licensed Practical Nurse | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-06-27 |
| 1447770870 | Kevin Alan Bradley | Licensed Practical Nurse | 180 Grafton Ln, Berryville, VA 22611-2576 | 2017-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568517506 | Kathryn Lee Steuer | Dermatology | 13 West Main Street, Berryville, VA 22611 | 2007-01-23 |
| 1700842382 | Christine M Aiello | Family Medicine | 115 South Church Street, Berryville, VA 22611 | 2006-04-24 |
| 1215921317 | Martin Patrick Fleming | Specialist | 3831 Harry Byrd Highway, Berryville, VA 22611 | 2005-09-02 |
| 1548421050 | Diane Waters | Social Worker | 180 Grafton Lane, Berryville, VA 22611 | 2008-06-18 |
| 1619150885 | Kaiser and Malony, D.d.s., P.C. | Dentist | 322 N Buckmarsh St, Berryville, VA 22611 | 2007-12-11 |
| 1700069978 | Gina Marie Kaiser | Dentist | 322 North Buckmarsh St., Berryville, VA 22611 | 2007-12-11 |
| 1255454369 | Brownen Wood | Music Therapist | 180 Grafton Lane, Berryville, VA 22611 | 2007-04-06 |
| 1285759142 | Lisa Marshall | Psychologist | 180 Grafton Lane, Berryville, VA 22611 | 2007-03-20 |
| 1952450173 | Samuel Bauman | Counselor | 180 Grafton Lane, Berryville, VA 22611-0112 | 2007-01-09 |
| 1679808174 | Dr Krawchuk Plc | Chiropractor | 322 N Buckmarsh St, Berryville, VA 22611-1000 | 2009-10-16 |
| Find all providers in zip 22611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134657836 | Tamra Lynn Cox | Nurse Practitioner | 613 Orchard Dr, Berryville, AR 72616-5013 | 2017-05-25 |
| 1912285628 | Heather E Kavanagh | Nurse Practitioner | 115 S Church St, Berryville, VA 22611-1369 | 2011-07-29 |
| 1083924294 | Mercy Clinic-springfield Communities | Nurse Practitioner | 1000 W Trimble Ave, Berryville, AR 72616-4603 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568328 | Lindsey Faulkner | Nurse Practitioner | 32 2nd Ave, Kilmarnock, VA 22482-9571 | 2020-11-06 |
| 1275134694 | Samantha Bonita Wilkins-copeland | Nurse Practitioner | 600 Reusens Rd Apt L129, Lynchburg, VA 24503-1270 | 2020-11-03 |
| 1427659010 | Angela Marie Baker | Nurse Practitioner | 12631 Harrowgate Rd, Chester, VA 23831-4808 | 2020-11-02 |
| 1225638026 | Prasanti Pinnamaraju | Nurse Practitioner | 5324 Fox Ridge Rd, Roanoke, VA 24018-8754 | 2020-10-29 |
| 1881294783 | Amy K Volk | Nurse Practitioner | 272 Bendix Rd Ste 100, Virginia Beach, VA 23452-1380 | 2020-10-29 |
| 1932708971 | Kenjilyn Saldua Uchida | Nurse Practitioner | 8006 Hampton Glen Mews, Chesterfield, VA 23832-2003 | 2020-10-21 |
| 1245839497 | Abdul Malike | Nurse Practitioner | 8010 George Fox Pl, Lorton, VA 22079-2347 | 2020-10-20 |
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1619575016 | Lauren Marie Rayburn | Nurse Practitioner | 21021 Sycolin Rd, Ashburn, VA 20147-4097 | 2020-10-16 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | BERRYVILLE |
| Zip Code | 22611 |
Please comment or provide details below to improve the information on MS. AMANDA J BALTIERRA.
| 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.