MRS. AMANDA DIANE ANDERSON


Address: 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581
Phone: 3173987337

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
28191069A IN Nursing Service Providers

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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
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Office Location

Street Address 2451 INTELLIPLEX DR STE 240
City SHELBYVILLE
State IN
Zip Code 46176-8581

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558870279 Major Hospital Clinic/Center 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 2017-09-26

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City SHELBYVILLE
Zip Code 46176

Improve Information

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Dataset Information

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.

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