AMY MICHELLE PROVENZANO (NPI# 1487178687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487178687 |
| Entity Type | Individual |
| Full Name | AMY MICHELLE PROVENZANO |
| Credential | CPNP-PC |
| Practice Address |
600 N. Pickaway St Suite 300 3rd Floor Mo Bldg Circleville OH 43113 |
| Mailing Address |
600 N Pickaway St Circleville OH 43113-1447 |
| Practice Telephone | 7402074202 |
| Practice Fax Number | 7402074221 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APRN.CNP.021402 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 N. PICKAWAY ST SUITE 300 3RD FLOOR MO BLDG |
| City | CIRCLEVILLE |
| State | OH |
| Zip Code | 43113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356841472 | Bobi Jo Carpenter | Nurse Practitioner | 1180 N. Court St., Circleville, OH 43113 | 2018-02-15 |
| 1235637968 | Denise Van Gundy | Social Worker | 26442 Kime Holderman Rd, Circleville, OH 43113 | 2018-01-29 |
| 1912425562 | Erin E Good | Audiologist-Hearing Aid Fitter | 5074 N High Street, Columbus, OH 43113 | 2017-09-05 |
| 1801343371 | Amanda Hamman | Speech-Language Pathologist | 588 Clark Drive, Circleville, OH 43113 | 2016-09-01 |
| 1235588823 | Family Urgent Care LLC | Clinic/Center | 1180 North Court Street, Family Urgent Care, LLC, Circleville, OH 43113 | 2016-06-06 |
| 1801295878 | Andre Woeste | Psychologist | 100 Tiger Drive, Circleville, OH 43113 | 2014-08-15 |
| 1396159935 | Regina Ann Boysel | Home Health Aide | 200 Villa Drive, Circleville, OH 43113 | 2014-06-11 |
| 1760797542 | Chamberlain Family Therapy | Social Worker | 906 N. Court St. Suite C, Circleville, OH 43113 | 2010-08-17 |
| 1538484415 | Raul A Zamora | Surgery | 600 N. Pickaway St, Suite 203, Berger Health System, Circleville, OH 43113 | 2010-04-02 |
| Find all providers in zip 43113 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078530 | Susan Diane Picciano | Nurse Practitioner | 600 N Pickaway St, Suite 300, Circleville, OH 43113-1447 | 2009-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
| 1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | CIRCLEVILLE |
| Zip Code | 43113 |
Please comment or provide details below to improve the information on AMY MICHELLE PROVENZANO.
| 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.