AMANDA ROSE PORTER (NPI# 1548773146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548773146 |
Entity Type | Individual |
Full Name | AMANDA ROSE PORTER |
Credential | CLC |
Practice Address |
216 Sara Beth Dr Brooklet GA 30415-8212 |
Practice Telephone | 9126903144 |
Mailing Telephone | 9126903144 |
Enumeration Date | 2017-11-06 |
Last Update Date | 2017-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | ALPP207699 | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ACADEMY OF LACTATION | ALPP207699 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750561924 | Amanda Logan Porter | Physician Assistant | 726 Yorklyn Road, Suite 100, Hockessin, DE 19707-0000 | 2007-11-05 |
1104853704 | Amanda Renea Porter | Physician Assistant | 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 | 2006-06-27 |
1528693025 | Amanda Ellen Porter | Behavior Technician | 152 Sylvan St, Danvers, MA 01923-3558 | 2020-03-05 |
1639638729 | Amanda Lynn Porter | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2019-03-18 |
1639687395 | Amanda Jo Porter | Occupational Therapist | 5 Doctors Park Rd, Mount Vernon, IL 62864-6224 | 2018-01-16 |
1346790029 | Amanda Lynn Porter | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2016-10-06 |
1689127839 | Amanda Lynn Porter | Pharmacist | 3000 Arlington Ave, Ms 1131, Toledo, OH 43614-2595 | 2016-07-24 |
1831574110 | Amanda Lee Porter | Chiropractor | 2160 Dunn Ave, Jacksonville, FL 32218-4718 | 2015-07-28 |
1720426356 | Amanda Vaughan Porter | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2013-06-05 |
1710233838 | Amanda Kathleen Porter | Nurse Practitioner | 975 E 3rd St # 376, Chattanooga, TN 37403-2147 | 2012-07-26 |
Street Address |
216 SARA BETH DR |
City | BROOKLET |
State | GA |
Zip Code | 30415-8212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659422145 | Home Health Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 121 Parker Ave., Brooklet, GA 30415 | 2007-01-13 |
1750319463 | Rene B Childree | Family Medicine | 128 North Parker Ave, Brooklet, GA 30415 | 2006-06-29 |
1447707088 | Kaitlin Brannen | Pharmacist | 114 B Parker Ave, Brooklet, GA 30415 | 2016-09-01 |
1811049679 | Bohler Family Practice PC | Clinic/Center | 128 North Parker Ave, Brooklet, GA 30415 | 2007-01-18 |
1609819804 | Walker Pharmacy and Gifts, Inc. | Pharmacy | 114 B Parker Ave, Brooklet, GA 30415-0215 | 2006-06-14 |
1912451246 | Victor Ray Voiselle | Pharmacist | 114 B Parker Ave, Brooklet, GA 30415-0215 | 2016-08-03 |
1225141997 | William Scott Bohlke | Family Medicine | 128 North Parker Avenue, Brooklet, GA 30415-0487 | 2006-08-16 |
1003800947 | Caroline U Bowman | Speech-Language Pathologist | 3300 Lang Ln, Brooklet, GA 30415-5775 | 2005-09-07 |
1225580806 | Marla Jean Riley | Nurse Practitioner | 118 Tall Timbers Ln, Brooklet, GA 30415-5985 | 2016-10-28 |
1982141834 | Janet Kathleen Scott | Counselor | 114 Summer Wind Pl, Brooklet, GA 30415-6090 | 2017-01-30 |
Find all providers in zip 30415 |
Taxonomy Code | 174N00000X |
Grouping | Other Service Providers |
Classification | Lactation Consultant, Non-RN |
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871109140 | Darnaisha Campbell | Lactation Consultant, Non-RN | 206 Chatham St Apt B, Lagrange, GA 30240-5387 | 2020-09-21 |
1770193310 | Nicole Schwartz | Lactation Consultant, Non-RN | 431 Westside Dr, Roswell, GA 30075-4835 | 2020-08-07 |
1639799372 | Jean G Howington | Lactation Consultant, Non-RN | 4520 Bartow Carver Rd Se Apt 3, Acworth, GA 30102-2669 | 2020-04-22 |
1417590795 | Jennifer Marie Letzer | Lactation Consultant, Non-RN | 2202 The Vly, Sandy Springs, GA 30328-5413 | 2019-10-19 |
1831740026 | Napiera Loveless | Lactation Consultant, Non-RN | 4258 Duncan Ives Dr, Buford, GA 30519-7556 | 2019-09-27 |
1134773880 | Heather Michelle Goodbread | Lactation Consultant, Non-RN | 408 S Atlanta St Ste 155, Roswell, GA 30075-4976 | 2019-07-31 |
1194386201 | Pamela Juliet Campbell | Lactation Consultant, Non-RN | 403 Robinson Rd, Peachtree City, GA 30269-1861 | 2019-06-28 |
1952961351 | Nichole Lynn Cutrone | Lactation Consultant, Non-RN | 3635 Azurite St, Cumming, GA 30040-6096 | 2019-06-18 |
1194385054 | Laura Crockett | Lactation Consultant, Non-RN | 754 Virginia Cir Ne, Atlanta, GA 30306-3712 | 2019-06-13 |
1518432947 | Heather Hardy | Lactation Consultant, Non-RN | 109 Heritage Oaks Dr, Ball Ground, GA 30107-6307 | 2018-10-12 |
Find all providers with the same taxonomy |
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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.