AMANDA ELAINE TATTERSALL (NPI# 1396103222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396103222 |
| Entity Type | Individual |
| Full Name | AMANDA ELAINE TATTERSALL |
| Credential | WHNP-BC |
| Practice Address |
10941 Raven Ridge Rd Raleigh NC 27614-6487 |
| Mailing Address |
3805 Computer Dr Raleigh NC 27609-6503 |
| Practice Telephone | 9198477475 |
| Practice Fax Number | 9198477471 |
| Mailing Telephone | 9197816200 |
| Mailing Fax Number | 9197831819 |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2017-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
5008353 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10941 RAVEN RIDGE RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-6487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477691 | Tammy L. Hilbert | Obstetrics & Gynecology | 10941 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6487 | 2005-06-16 |
| 1093177404 | Hereditary Care Center | Genetic Counselor, MS | 10941 Raven Ridge Rd, Suite 107, Raleigh, NC 27614-6487 | 2016-03-24 |
| 1467899633 | Heath B Brantley | Dentist | 10941 Raven Ridge Rd, Raleigh, NC 27614-6487 | 2013-05-29 |
| 1265764849 | Alyssa Joan Hoffmann | Nurse Practitioner | 10941 Raven Ridge Rd, Suite 105, Raleigh, NC 27614-6487 | 2010-02-05 |
| 1205081478 | Stepping Stones Pediatrics, Pllc | Clinic/Center | 10941 Raven Ridge Rd, Suite 105, Raleigh, NC 27614-6487 | 2008-12-01 |
| 1225218910 | Michael Law Md Pa | Specialist | 10941 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6487 | 2007-11-09 |
| 1043409352 | Bobbie Jo Peterson | Nurse Practitioner | 10941 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6487 | 2007-10-23 |
| 1447463310 | Roger D Urlaub Dds Pa | Clinic/Center | 10941 Raven Ridge Rd, #115, Raleigh, NC 27614-6487 | 2007-05-08 |
| 1982725933 | Dr. Craig Q. Adams Dmd | Dentist | 10941 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6487 | 2007-04-03 |
| 1356431415 | Roger David Urlaub | Dentist | 10941 Raven Ridge Rd, Suite 115, Raleigh, NC 27614-6487 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
| 1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
| 1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
| 1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
| 1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
| 1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
| 1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
| 1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838561 | Ellen Byars | Nurse Practitioner | 4420 Lake Boone Trl Ste 201, Raleigh, NC 27607-7505 | 2018-04-12 |
| 1407112352 | Virginia S Jenkins | Nurse Practitioner | 2304 Wesvill Ct Ste 201, Raleigh, NC 27607-0058 | 2012-04-04 |
| 1598948002 | Meredith Lynn Harris | Nurse Practitioner | 5816 Creedmoor Rd Ste 103b, Raleigh, NC 27612-2310 | 2007-12-07 |
| 1750476677 | Pamela J Lawlor | Nurse Practitioner | 10941 Raven Ridge Rd # 1, Raleigh, NC 27614-6487 | 2006-10-04 |
| 1619587904 | Danielle Nicole Lewis | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2020-08-03 |
| 1255991295 | Heather Lannette Dellinger | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2019-06-20 |
| 1588149652 | Rebecca Daniels | Nurse Practitioner | 4414 Lake Boone Trl Ste 308, Raleigh, NC 27607-7514 | 2018-09-25 |
| 1053858357 | Adrienne Heath | Nurse Practitioner | 100 S Boylan Ave, Raleigh, NC 27603-1802 | 2017-01-24 |
| 1689062176 | Kristin Lauer Allison | Nurse Practitioner | 4414 Lake Boone Trl, Suite 405, Raleigh, NC 27607-7513 | 2015-01-06 |
| 1134479454 | Megan Elizabeth Miller | Nurse Practitioner | 3024 New Bern Ave Ste 307, Raleigh, NC 27610-1247 | 2012-09-13 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on AMANDA ELAINE TATTERSALL.
| 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.