AMANDA RAE DAVIS (NPI# 1326460205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326460205 |
| Entity Type | Individual |
| Full Name | AMANDA RAE DAVIS |
| Credential | NP-C |
| Practice Address |
8401 Market St Boardman OH 44512 |
| Mailing Address |
8401 Market St Boardman OH 44512-6725 |
| Practice Telephone | 3307294298 |
| Practice Fax Number | 3307291897 |
| Mailing Telephone | 3307294298 |
| Mailing Fax Number | 3307291897 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2018-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA-15217 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0114514 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330423 | Amanda Nicole Davis | Nurse's Aide | 686 Easy St, Marion, OH 43302-1606 | 2020-09-14 |
| 1598318842 | Amanda Lee Davis | Speech-Language Pathologist | 5730 W Centinela Ave Apt 308, Los Angeles, CA 90045-8815 | 2019-07-16 |
| 1790245645 | Amanda Davis | Occupational Therapy Assistant | 22461 Interstate 30 Ste 301, Bryant, AR 72022-2382 | 2019-03-25 |
| 1295246007 | Amanda N. Davis | Marriage & Family Therapist | 5001 Kendall Sta Nw, Acworth, GA 30102-7961 | 2017-10-19 |
| 1558886598 | Amanda Marie Davis | Nurse Practitioner | 18500 E 6th Ave, Aurora, CO 80011-9504 | 2017-08-10 |
| 1386184638 | Amanda Jean Davis | Behavioral Analyst | 34 Manor House Rd, Budd Lake, NJ 07828-2718 | 2017-03-06 |
| 1427593946 | Amanda Jane Davis | Social Worker | 5520 Barton Ln, Shawnee, KS 66203-2246 | 2016-12-20 |
| 1972054013 | Amanda Lee Davis | Hearing Instrument Specialist | 1761 Lisbon St, Unit 2, Lewiston, ME 04240-3525 | 2016-10-24 |
| 1033506209 | Amanda Davis | Social Worker | 7863 Park Gate Dr, North Charleston, SC 29418-3687 | 2015-04-24 |
| 1891192985 | Amanda Kathleen Davis | Nurse Practitioner | 4302 Allen Rd Ste 420, Stow, OH 44224-1070 | 2014-12-04 |
| Street Address |
8401 MARKET ST |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366449233 | Jayshree Rajesh Saraiya | Internal Medicine | 8401 Market St, Boardman, OH 44512 | 2005-07-06 |
| 1245857739 | Gina Schiavone | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2020-06-30 |
| 1730706664 | Mallory Dawn Capretta | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2020-06-26 |
| 1558990010 | Anna Plummer | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2020-04-06 |
| 1336778190 | Tyler Jay Homewood | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2020-04-03 |
| 1376171488 | Ryley Thomas Hausken | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2020-04-01 |
| 1669028395 | Katelyn Nicole Stokes | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2019-08-19 |
| 1720641152 | Brendan Charles Paull | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-22 |
| 1144883950 | Kayla Prokopakis | Emergency Medicine | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-17 |
| 1528521176 | Lucas Mcguire | Student in an Organized Health Care Education/Training Program | 8401 Market St, Boardman, OH 44512-6725 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467091751 | Mark James Colaluca | Nurse Practitioner | 835 Mckay Ct Ste 100, Boardman, OH 44512-5786 | 2020-01-03 |
| 1770092900 | Teresa Marie Shaffer | Nurse Practitioner | 987 Boardman Canfield Rd, Boardman, OH 44512-4222 | 2017-09-20 |
| 1558767889 | Amanda Sue Mccormick | Nurse Practitioner | 8401 Market St, Boardman, OH 44512-6725 | 2014-11-13 |
| 1750534509 | Jennifer L Cicchillo | Nurse Practitioner | 960 Windham Ct, Boardman, OH 44512-5087 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
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| 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.