MISS AMANDA SUE DAVIS (NPI# 1508377060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508377060 |
| Entity Type | Individual |
| Full Name | MISS AMANDA SUE DAVIS |
| Practice Address |
1412 Fairmount Ave Philadelphia PA 19130-2908 |
| Mailing Address |
1412-22 Fairmount Avenue Philadelphia PA 19130-2908 |
| Practice Telephone | 2152359600 |
| Practice Fax Number | 2156845360 |
| Mailing Telephone | 2156845344 |
| Mailing Fax Number | 2152324093 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 Walnut St, Philadelphia, PA 191394587 | 2629499055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330423 | Amanda Nicole Davis | Nurse's Aide | 686 Easy St, Marion, OH 43302-1606 | 2020-09-14 |
| 1598318842 | Amanda Lee Davis | Speech-Language Pathologist | 5730 W Centinela Ave Apt 308, Los Angeles, CA 90045-8815 | 2019-07-16 |
| 1790245645 | Amanda Davis | Occupational Therapy Assistant | 22461 Interstate 30 Ste 301, Bryant, AR 72022-2382 | 2019-03-25 |
| 1295246007 | Amanda N. Davis | Marriage & Family Therapist | 5001 Kendall Sta Nw, Acworth, GA 30102-7961 | 2017-10-19 |
| 1558886598 | Amanda Marie Davis | Nurse Practitioner | 18500 E 6th Ave, Aurora, CO 80011-9504 | 2017-08-10 |
| 1386184638 | Amanda Jean Davis | Behavioral Analyst | 34 Manor House Rd, Budd Lake, NJ 07828-2718 | 2017-03-06 |
| 1427593946 | Amanda Jane Davis | Social Worker | 5520 Barton Ln, Shawnee, KS 66203-2246 | 2016-12-20 |
| 1972054013 | Amanda Lee Davis | Hearing Instrument Specialist | 1761 Lisbon St, Unit 2, Lewiston, ME 04240-3525 | 2016-10-24 |
| 1033506209 | Amanda Davis | Social Worker | 7863 Park Gate Dr, North Charleston, SC 29418-3687 | 2015-04-24 |
| 1891192985 | Amanda Kathleen Davis | Nurse Practitioner | 4302 Allen Rd Ste 420, Stow, OH 44224-1070 | 2014-12-04 |
| Street Address |
1412 FAIRMOUNT AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19130-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616882 | Alvan Scott Mcneal | Family Medicine | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2005-08-11 |
| 1538772058 | Lindsay Reid | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2020-08-25 |
| 1518577188 | Alicia M Rivera Jones | Social Worker | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2020-08-07 |
| 1174183420 | Kimberly Yulick | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2019-06-18 |
| 1871068684 | Lorna L Okletey | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2018-10-08 |
| 1245729854 | Yamile Cuevas | Nurse Practitioner | 1412 Fairmount Ave, Philadelphia, PA 19130 | 2018-05-09 |
| 1720508369 | Nikhil Abreo | Dentist | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2017-06-25 |
| 1346779139 | Brendan Bradford | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2017-06-06 |
| 1770025033 | Tosha Lee | Registered Nurse | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2016-11-17 |
| 1518417955 | Tyler Cox | Physician Assistant | 1412 Fairmount Ave, Philadelphia, PA 19130-2908 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1689213456 | Nora Marie Corbett | Physical Therapist | 1714 Fairmount Avenue, Philadelphia, PA 19130 | 2019-12-27 |
| 1104470665 | Thibault Counseling LLC | Clinic/Center | 2049 North Street, Philadelphia, PA 19130 | 2019-08-01 |
| 1619444577 | Rebecca Boova | Dietitian, Registered | 1644 Francis St, #3, Philadelphia, PA 19130 | 2018-10-30 |
| 1184191108 | Sharon Marie Thompson | Nurse Practitioner | School District of Philadelphia/school Health Services, 440 North Broad Street, Philadelphia, PA 19130 | 2018-10-29 |
| 1861918542 | Theresa Mary Thompson | Dental Hygienist | Delaware Valley Community Health, 1412 Fairmount Avenue, Philadelphia, PA 19130 | 2017-08-15 |
| 1023539806 | Marina France | Social Worker | 2401 Pennsylvania Ave Ste 1a2, Philadelphia, PA 19130 | 2017-06-30 |
| 1619425063 | Sarah Nash | Dietitian, Registered | 420 North 20th Street, Philadelphia, PA 19130 | 2016-09-14 |
| 1154737757 | Julia Ferrence | Social Worker | 2305 Fairmount Avenue, Philadelphia, PA 19130 | 2014-07-03 |
| 1811319924 | Larry H Goldberg | Internal Medicine | 2441 Olive Street, Philadelphia, PA 19130 | 2014-01-08 |
| Find all providers in zip 19130 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1174122493 | Juliana Debnam | Physician Assistant | 235 S 15th St Apt 904, Philadelphia, PA 19102-5031 | 2020-10-19 |
| 1457950867 | Kyllington Spotts | Physician Assistant | 1151 N 3rd St Unit 301, Philadelphia, PA 19123-1578 | 2020-10-19 |
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1457977944 | Jiyean Yoo | Physician Assistant | 2929 Walnut St Apt 4424, Philadelphia, PA 19104-5096 | 2020-06-19 |
| 1356987747 | Jennifer Rose Cueni | Physician Assistant | 2120 Brandywine St, Philadelphia, PA 19130-3107 | 2019-11-21 |
| 1730740408 | Olivia Anne Leventry | Physician Assistant | 109 Fairmount Ave, Philadelphia, PA 19123-3004 | 2019-06-24 |
| 1588136055 | Jefferson University Physcians | Physician Assistant | 1020 Sansom St Fl 10, Philadelphia, PA 19107-5002 | 2018-12-21 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922589365 | Rachel Diane Simonsen | Physician Assistant | 1741 Frankford Ave Ste 100a, Philadelphia, PA 19125-2445 | 2018-08-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19130 |
Please comment or provide details below to improve the information on MISS AMANDA SUE DAVIS.
| 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.