AMANDA BOUDREAUX (NPI# 1376949586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376949586 |
| Entity Type | Individual |
| Full Name | AMANDA BOUDREAUX |
| Other Name | AMANDA MORGAN |
| Credential | R.N. |
| Practice Address |
320 Akers Ave Kingsport TN 37665-1934 |
| Practice Telephone | 9728907839 |
| Mailing Telephone | 9728907839 |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2014-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 201347 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013281765 | Amanda Faye Boudreaux | Audiologist | 1145 Sturgis Road, Twentynine Palms, CA 92278 | 2012-02-28 |
| Street Address |
320 AKERS AVE |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37665-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068765 | James Clyde Oaks | Physical Therapy Assistant | 2421 North John B Dennis, Kingsport, TN 37665 | 2019-02-05 |
| 1972741296 | Beth Mcelwee Faust | Nurse Anesthetist, Certified Registered | 1908 Granby Rd, Kingsport, TN 37665 | 2009-01-23 |
| 1528215183 | Heaven At Home Care | Point of Service | 524 W Carters Valley Rd, Kingsport, TN 37665-1008 | 2008-08-25 |
| 1447731492 | Kingsport Family Recovery Associates | Clinic/Center | 1729 Lynn Garden Dr, Kingsport, TN 37665-1365 | 2018-08-28 |
| 1164772109 | Advanced Anesthesia Solutions Inc. | Nurse Anesthetist, Certified Registered | 1908 Granby Rd, Kingsport, TN 37665-1712 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972966 | Rebecca Singleton | Nurse Practitioner | 2601 N John B Dennis Hwy Apt 2318, Kingsport, TN 37660-0835 | 2020-11-03 |
| 1134727043 | Matthew Bronson King | Occupational Therapy Assistant | 1315 Riverbend Dr Apt 109, Kingsport, TN 37664-6004 | 2020-10-13 |
| 1386241800 | Melinda Ruth Hite | In Home Supportive Care | 2006 E Center St, Kingsport, TN 37664-2615 | 2020-10-07 |
| 1104433630 | Appalachian Pediatric Therapy, LLC | Behavioral Analyst | 5400 Fort Henry Dr Ste 12, Kingsport, TN 37663-5304 | 2020-09-29 |
| 1124634126 | Michael Haun | Chiropractor | 2105 E Center St Ste C, Kingsport, TN 37664-2664 | 2020-09-16 |
| 1033723499 | Courtney Lahatte Blankenship | Dentist | 116 Jack White Dr Ste 12, Kingsport, TN 37664-2379 | 2020-09-03 |
| 1932712528 | Shaylynn Hooper | Speech-Language Pathologist | 1076 Centerbrook Cir, Kingsport, TN 37663-2808 | 2020-08-25 |
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1316563455 | Kathleen Barksdale Beine | Family Medicine | 4515 Brookridge Dr, Kingsport, TN 37664-2105 | 2020-06-24 |
| 1467076158 | Jon Wirshels | Registered Nurse | 608 Montezuma Rd, Kingsport, TN 37664-4247 | 2020-05-29 |
| Find all providers in KINGSPORT | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467076158 | Jon Wirshels | Registered Nurse | 608 Montezuma Rd, Kingsport, TN 37664-4247 | 2020-05-29 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1366822561 | Ashley Taylor | Registered Nurse | 151 Union St, Kingsport, TN 37660-3029 | 2015-06-02 |
| 1093195547 | Christopher Ryan Mynhier | Registered Nurse | 608 Saint Andrews Dr, Kingsport, TN 37664-5676 | 2015-05-30 |
| 1013266204 | Zane Emory Lynne Holden | Registered Nurse | 1437 Belmont Dr, Kingsport, TN 37664-3002 | 2012-09-03 |
| 1942458120 | Sharon Lyn Thouin | Registered Nurse | 5044 Lake Forest Dr, Kingsport, TN 37663-3714 | 2008-08-31 |
| 1710162789 | Laura Lx Bassham | Registered Nurse | 135 W Ravine Road Ste 5-b, Holston Anesthesia Associates, PC, Kingsport, TN 37660-3847 | 2008-01-08 |
| 1386825396 | Tammie Renee Gilliam | Registered Nurse | 1041 East Sullivan St, Kingsport, TN 37660 | 2007-11-19 |
| 1689861767 | Neva Gail Ennis | Registered Nurse | 592 Summerville Rd, Kingsport, TN 37663-3100 | 2007-10-02 |
| 1962699314 | Katrina Kaye Willingham | Registered Nurse | 1236 Moreland Dr, Kingsport, TN 37664-5222 | 2007-10-01 |
| Find all providers in KINGSPORT | ||||
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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.