AMANDA THOBURN (NPI# 1225699127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225699127 |
| Entity Type | Individual |
| Full Name | AMANDA THOBURN |
| Practice Address |
2627 Paul E Malone Rd Grafton WV 26354-7141 |
| Practice Telephone | 3047717887 |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457778979 | Amanda Thoburn | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-03-21 |
| Street Address |
2627 PAUL E MALONE RD |
| City | GRAFTON |
| State | WV |
| Zip Code | 26354-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547383 | Ruth Fern Bucklew | Technician | 705 Fast Lane, Grafton, WV 26354 | 2020-10-29 |
| 1649878281 | Stephanie Hess | Technician | 207 Low Bridge Rd, Grafton, WV 26354 | 2020-10-15 |
| 1952814428 | Taylor Health Care Center, LLC | Skilled Nursing Facility | 2 Hospital Plaza, Grafton, WV 26354 | 2017-11-07 |
| 1477079432 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 98 North Pike Street, Grafton, WV 26354 | 2017-08-21 |
| 1205008323 | Nancy Hickman | Physical Therapist | 82 Utt Dr, Grafton, WV 26354 | 2008-03-28 |
| 1780860098 | Taylor County Board of Education | Local Education Agency (LEA) | 82 Utt Drive, Grafton, WV 26354 | 2008-01-16 |
| 1770795353 | Taylor County Emergency Squad | Ambulance | 797 George Washington Hwy., Grafton, WV 26354 | 2007-05-04 |
| 1841308541 | Preston-taylor Community Health Centers Incorporated | Clinic/Center | 711 N Pike St, Grafton, WV 26354 | 2006-08-25 |
| 1609398585 | Grafton Taylor County Health Department | Clinic/Center | 718 W Main St, Grafton, WV 26354 | 2017-07-12 |
| 1215458864 | John W Byers, Dds, Pllc | Advanced Practice Dental Therapist | 122 Yates Ave, Grafton, WV 26354 | 2017-07-05 |
| Find all providers in zip 26354 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469505 | Abigail Koby | Student in an Organized Health Care Education/Training Program | 1802 E Sauk Rd Unit 8, Grafton, WI 53024-9750 | 2020-08-28 |
| 1871117523 | Nancy Hassan | Student in an Organized Health Care Education/Training Program | 1525 Wisconsin Ave Apt 6, Grafton, WI 53024-1988 | 2020-05-28 |
| 1952896821 | Megan Marie Eeling | Student in an Organized Health Care Education/Training Program | 1628 High Bluff Rd, Grafton, WI 53024-6100 | 2018-06-24 |
| 1578099420 | Drew Lewis | Student in an Organized Health Care Education/Training Program | 410 Highland Dr, Grafton, WI 53024-2315 | 2017-05-11 |
| 1376056671 | Brittany Dusek | Student in an Organized Health Care Education/Training Program | 728 Hill Ave, Grafton, ND 58237-1448 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358149 | Jamara Washington | Student in an Organized Health Care Education/Training Program | 5000 Domain Dr Apt 715, Morgantown, WV 26501-2528 | 2020-08-30 |
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1336752674 | Brock Riley Hapney | Student in an Organized Health Care Education/Training Program | 1538 Charelston Avenue, Huntington, WV 25701 | 2020-08-26 |
| 1275146540 | Virginia Fay Honaker | Student in an Organized Health Care Education/Training Program | 5000 Station St Apt 1012, Morgantown, WV 26508-7442 | 2020-08-26 |
| 1417560053 | Chelsea Dawn Fields | Student in an Organized Health Care Education/Training Program | 408 Harbour Ln, Hurricane, WV 25526-9646 | 2020-08-24 |
| 1386257061 | Dellani Fix | Student in an Organized Health Care Education/Training Program | 788 W Union Rd, Clendenin, WV 25045-6200 | 2020-08-24 |
| 1144833823 | Shadi Adib Bashai | Student in an Organized Health Care Education/Training Program | 743 1/2 Washington St W, Charleston, WV 25302-1844 | 2020-08-24 |
| 1952914657 | Stamper Danielle Stamper | Student in an Organized Health Care Education/Training Program | Stephen J Kopp Hall 1538 Charleston Avenue, Huntington, WV 25755-0001 | 2020-08-24 |
| 1992322309 | Sarah Heath | Student in an Organized Health Care Education/Training Program | 20 Maxwell Cir, Milton, WV 25541-1449 | 2020-07-01 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMANDA THOBURN.
| 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.