AMANDA KAY HUNDLEY (NPI# 1306266085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306266085 |
| Entity Type | Individual |
| Full Name | AMANDA KAY HUNDLEY |
| Credential | CNP |
| Practice Address |
3021 W 70th St Shreveport LA 71108-4603 |
| Practice Telephone | 3185073140 |
| Mailing Telephone | 3185073140 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2018-02-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP129738 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R865820 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08174 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| Street Address |
3021 W 70TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71108-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581274 | Sharon D Adley | Nurse Practitioner | 3021 W 70th St, Shreveport, LA 71108-4603 | 2005-07-08 |
| 1104249473 | David Raines Community Health Center, Inc. | Clinic/Center | 3021 W 70th St, Shreveport, LA 71108-4603 | 2014-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551140 | Berkelia Player | Case Manager/Care Coordinator | 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 | 2018-06-08 |
| 1548757305 | Kenya Cawthorne | Counselor | 1520 Oakdale St, Shreveport, LA 71108 | 2018-04-17 |
| 1083112890 | Chantanell Johns | Case Manager/Care Coordinator | 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 | 2018-01-26 |
| 1912425935 | Mildred Rivers | Case Manager/Care Coordinator | 4718 Hearne Ave, Shreveport, LA 71108 | 2017-08-30 |
| 1790205326 | Britney Ashton | Case Manager/Care Coordinator | 1910 Hickory St, Shreveport, LA 71108 | 2017-06-24 |
| 1548792674 | La'travia Jackson | Case Manager/Care Coordinator | 3430 Fernwood Ln, Shreveport, LA 71108 | 2017-03-29 |
| 1962941476 | Johnetta Marshall | Counselor | 6901 Despot Rd, Shreveport, LA 71108 | 2017-02-16 |
| 1295283992 | Shaun Cooper | Case Manager/Care Coordinator | 8824 Ruth Ave, Shreveport, LA 71108 | 2016-09-12 |
| 1508313735 | Tara Black | Counselor | 7019 Louise St, Shreveport, LA 71108 | 2016-09-06 |
| 1659828960 | Maranda Bolden | Counselor | 4906 Merlin Circle, Apt 4906, Shreveport, LA 71108 | 2016-09-02 |
| Find all providers in zip 71108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| 1801407325 | Mariagoretti Lumnwi Niba | Nurse Practitioner | 1535 River Parkway Blvd Apt 708, Shreveport, LA 71104-1809 | 2020-08-10 |
| 1437768447 | Sheena Renaye Youngblood | Nurse Practitioner | 1453 E Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71105-6810 | 2020-07-26 |
| 1285265397 | Karen Elizabeth Jordan | Nurse Practitioner | 172 Southfield Rd, Shreveport, LA 71105-3721 | 2020-01-28 |
| 1235776709 | Malene Nilaja Coleman | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Unit 210, Shreveport, LA 71105-5740 | 2019-12-04 |
| 1417504093 | Roberto Rodriquez Monsanto II | Nurse Practitioner | 3724 Baxter St, Shreveport, LA 71109-7402 | 2019-08-20 |
| 1275188757 | Sara Vergis | Nurse Practitioner | 10453 Keysburg Ct, Shreveport, LA 71106-7785 | 2019-08-02 |
| 1457912800 | Ema-chanel Johnson | Nurse Practitioner | 8219 Spring Valley Cir, Shreveport, LA 71107-8609 | 2019-06-26 |
| 1083170666 | Vanisha Faye Williams | Nurse Practitioner | 8857 Hedges Dr, Shreveport, LA 71118-2008 | 2019-02-19 |
| 1700366655 | Wendy King | Nurse Practitioner | 3060 Duncan Dr, Shreveport, LA 71119-2302 | 2018-08-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71108 |
Please comment or provide details below to improve the information on AMANDA KAY HUNDLEY.
| 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.