AMANDA S DECKER (NPI# 1467482802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467482802 |
| Entity Type | Individual |
| Full Name | AMANDA S DECKER |
| Credential | FNP |
| Practice Address |
110 Mathis Dr Suite 103 Dickson TN 37055-2000 |
| Mailing Address |
127 Crestview Park Dr Suite 209 Dickson TN 37055-2855 |
| Practice Telephone | 6154414400 |
| Practice Fax Number | 6154461357 |
| Mailing Telephone | 6154465121 |
| Mailing Fax Number | 6154461357 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11767 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100013400 | 05 | |
| TN | 36441711 | 05 | |
| TN | BCBS OF TN | 4164611 | 01 |
| TN | BCBS OF TN | 4164612 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053779769 | Amanda Decker | Licensed Practical Nurse | 3102 25th St Sw, Waverly, MN 55390-5043 | 2016-02-09 |
| 1679043715 | Amanda M. Decker | Dietitian, Registered | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2018-12-02 |
| 1144711680 | Amanda Decker | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2018-05-21 |
| 1396756359 | Amanda Sue Decker | Pharmacist | 1232 Branson Hills Pkwy, Ste 205, Branson, MO 65616-9943 | 2006-08-11 |
| Street Address |
110 MATHIS DR SUITE 103 |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071691 | Kelley J Sharp | Nurse Practitioner | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2000 | 2005-05-24 |
| 1184978884 | Lauren Sabet | Pharmacist | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2000 | 2012-11-01 |
| 1043477680 | Dickson Optical PC | Durable Medical Equipment & Medical Supplies | 110 Mathis Dr, Suite 108, Dickson, TN 37055-2000 | 2008-05-21 |
| 1629105861 | Hein Family Medicine | Family Medicine | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2000 | 2007-02-27 |
| 1881702199 | Dickson Medical Associates, PC | Family Medicine | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2077 | 2006-08-27 |
| 1265436083 | Lori A. Weiss | Optometrist | 110 Mathis Dr, Dickson, TN 37055-2000 | 2005-06-09 |
| 1518961325 | Donald L. Weiss Jr. | Optometrist | 110 Mathis Dr, Suite 108, Dickson, TN 37055-2000 | 2005-06-09 |
| 1467456368 | George H. Wright | Optometrist | 110 Mathis Dr, Dickson, TN 37055-2000 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500857 | Cori Brown | Nurse Practitioner | 718 E College St, Dickson, TN 37055-2032 | 2020-02-17 |
| 1174081905 | Melissa Dawn Holton | Nurse Practitioner | 1052 Yellow Creek Rd, Dickson, TN 37055-5061 | 2019-03-11 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1336416536 | Melissa Armstrong Glassford | Nurse Practitioner | 111 Highway 70 E Ste W202, Dickson, TN 37055-2080 | 2011-11-16 |
| 1255502308 | Brooke Crawford Hawkins | Nurse Practitioner | 111 Highway 70 East, Suite H, Dickson, TN 37055 | 2008-03-17 |
| 1679664411 | Kimberly L Ray | Nurse Practitioner | 2409 Highway 70 E, Dickson, TN 37055-6126 | 2006-09-27 |
| 1083610547 | Rose Dawn Widener | Nurse Practitioner | 7105 Ramsey Way, Dickson, TN 37055-1586 | 2005-06-21 |
| 1598302051 | Chansamone Noi Dee | Nurse Practitioner | 111 Highway 70 E, Dickson, TN 37055-2080 | 2019-12-04 |
| 1124687785 | Jessica Dawn Lane | Nurse Practitioner | 200 Creekside Dr, Dickson, TN 37055-2176 | 2019-06-07 |
| 1942771670 | Treeah Majors | Nurse Practitioner | 301 W End Ave, Dickson, TN 37055-1725 | 2018-12-06 |
| Find all providers in DICKSON | ||||
Please comment or provide details below to improve the information on AMANDA S DECKER.
| 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.