MRS. AMANDA DIANE ANDERSON (NPI# 1508394792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508394792 |
Entity Type | Individual |
Full Name | MRS. AMANDA DIANE ANDERSON |
Other Name | AMANDA DIANE SMITH |
Credential | FNP |
Practice Address |
2451 Intelliplex Dr Ste 240 Shelbyville IN 46176-8581 |
Mailing Address |
5245 N Frontage Rd Fairland IN 46126-9655 |
Practice Telephone | 3173987337 |
Mailing Telephone | 3175120115 |
Enumeration Date | 2017-06-01 |
Last Update Date | 2017-06-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
28191069A | IN | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
1124634860 | Amanda Anderson | Technician | 2503 Beverly St Apt 12b, Parkersburg, WV 26101-7153 | 2020-09-18 |
1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
1750897716 | Amanda Mary Anderson | Counselor | 10201 W Lincoln Ave Ste 308, West Allis, WI 53227-2136 | 2017-12-28 |
1124573613 | Amanda Anderson | Occupational Therapy Assistant | 26 Rykill Way, Palm Coast, FL 32164-3403 | 2016-08-24 |
1306217096 | Amanda Anderson | Registered Nurse | 103 Plymouth Dr Apt 2c, Norwood, MA 02062-5487 | 2015-10-07 |
1104292267 | Amanda Lynn Anderson | Physician Assistant | 550 E 8th Ave, Escondido, CA 92025-5121 | 2015-08-12 |
1952797383 | Amanda Sue Anderson | Nurse Practitioner | 144 Oak Hill Dr, Maryville, IL 62062-6475 | 2015-04-13 |
1386991263 | Amanda Ruth Anderson | Community Health Worker | 27500 102nd Ave Nw Ste 2, Stanwood, WA 98292-8092 | 2012-08-09 |
Street Address |
2451 INTELLIPLEX DR STE 240 |
City | SHELBYVILLE |
State | IN |
Zip Code | 46176-8581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558870279 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
1548595440 | Patrick A Wagner Phd PC | Psychologist | 1253 North Deer Run E Drive, Shelbyville, IN 46176 | 2009-10-09 |
1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
Find all providers in zip 46176 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730786005 | Jennifer Goettemoeller | Registered Nurse | 748 Walkabout Cir N Apt 2c, Carmel, IN 46032-5696 | 2020-10-08 |
1649827809 | Lauren Marie Ema | Registered Nurse | 731 77th Ave, Dyer, IN 46311-2305 | 2019-08-22 |
1780243972 | Zachary Eppert | Registered Nurse | 1919 E 52nd St, Indianapolis, IN 46205-1377 | 2019-06-11 |
1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
1184160608 | Sarah Ann Battista | Registered Nurse | 1250 N State Ave, Indianapolis, IN 46201-1162 | 2017-01-07 |
1881035632 | Michelle Funk | Registered Nurse | 913 S Westhill Ct, Bloomington, IN 47403-2119 | 2013-07-09 |
1457605511 | Cynthia Denise Nanavaty | Registered Nurse | 6525 E 82nd St Ste 210-j, Indianapolis, IN 46250-1545 | 2012-10-28 |
1770855835 | Jeanine Marie Kuna | Registered Nurse | 320 S Saint Joseph St, Suite 300, South Bend, IN 46601-2308 | 2012-02-06 |
1497994024 | Vicki Jo Hazlewood | Registered Nurse | 4315 S 950 E, Lafayette, IN 47905-9447 | 2009-02-04 |
1518125418 | Wecare Extended Medical Services LLC | Registered Nurse | 8206 Salem Church Rd, Charlestown, IN 47111-9262 | 2008-05-28 |
Find all providers with the same taxonomy |
City | SHELBYVILLE |
Zip Code | 46176 |
Please comment or provide details below to improve the information on MRS. AMANDA DIANE ANDERSON.
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.