AMANDA W PEEBLES (NPI# 1396220034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396220034 |
| Entity Type | Individual |
| Full Name | AMANDA W PEEBLES |
| Credential | FNP-C |
| Practice Address |
4278 Ladson Rd. Summerville SC 29485 |
| Mailing Address |
Po Box 751649 Charlotte NC 28275-1649 |
| Practice Telephone | 8434025283 |
| Mailing Telephone | 8437891620 |
| Mailing Fax Number | 8437242440 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21838 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373571 | Amanda R Peebles | Counselor | 159 Brentwood Dr, Grass Valley, CA 95945-5703 | 2020-10-13 |
| Street Address |
4278 LADSON RD. |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| 1124434329 | James C. Andrews Dmd Pa | Clinic/Center | 1720 Trolley Road, Summerville, SC 29485 | 2014-07-08 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
| 1336649953 | Rochelle D. Elayda | Nurse Practitioner | 1101 Old Trolley Rd Ste 100, Summerville, SC 29485-5294 | 2018-02-20 |
| 1558877357 | Christina Marie Cottrell | Nurse Practitioner | 679 Orangeburg Rd Unit F, Summerville, SC 29483-9038 | 2017-12-17 |
| 1659897858 | Brandon Michael Williams | Nurse Practitioner | 109 Carroll Ct, Summerville, SC 29483-4227 | 2017-08-18 |
| 1477927663 | Alma Boone | Nurse Practitioner | 124 Valentin Dr, Summerville, SC 29483-8439 | 2015-11-25 |
| 1033526231 | Shenise Seabrook | Nurse Practitioner | 9656 Pebble Creek Blvd, Summerville, SC 29485-8946 | 2014-07-20 |
| 1952730889 | Brenda Veatch-haynes | Nurse Practitioner | 123 Martin St, Summerville, GA 30747-1260 | 2013-11-01 |
| 1477829703 | Life Center Family Medicine | Nurse Practitioner | 679 Orangeburg Rd Ste F, Summerville, SC 29483-8914 | 2012-03-30 |
| 1497053656 | Kimberly Vaughn | Nurse Practitioner | 138 Mitchell Dr, Summerville, GA 30747-6642 | 2011-03-11 |
| 1740458975 | Kathryn J Gershkowitz | Nurse Practitioner | 103a Harth Pl, Summerville, SC 29485-8107 | 2008-02-11 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
Please comment or provide details below to improve the information on AMANDA W PEEBLES.
| 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.