AMANDA MORDECAI (NPI# 1336591882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336591882 |
| Entity Type | Individual |
| Full Name | AMANDA MORDECAI |
| Credential | NP |
| Practice Address |
2520 5th St N Columbus MS 39705-2008 |
| Mailing Address |
965 Ridge Lake Blvd Ste 103 Memphis TN 38120-9446 |
| Practice Telephone | 6622442966 |
| Practice Fax Number | 6622442763 |
| Mailing Fax Number | 9012278591 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
901639 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2520 5TH ST N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187345 | David B Morgan | Specialist | 2520 5th St N, Columbus, MS 39705-2008 | 2005-07-08 |
| 1760002208 | Jameka Eddins | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-24 |
| 1578183802 | Lauren Clark Beasley | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-16 |
| 1992324958 | Keri Lynn Mills | Pharmacist | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-10 |
| 1043859697 | Lacee Nicole Lowder | Nurse Practitioner | 2520 5th St N, Columbus, MS 39705-2008 | 2019-12-30 |
| 1760028294 | Erin Whitley Lee | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2019-11-19 |
| 1801451430 | Mary Elizabeth Rush | Nurse Practitioner | 2520 5th St N, Columbus, MS 39705-2008 | 2019-05-09 |
| 1184289167 | Parul Dutta | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-05-06 |
| 1447814322 | Robert Lyon Brown | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-04-26 |
| 1245894435 | Michael Olisadumbili Chiadika | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.